Momentum For Mental Health- Isp & Fsp

LBN: Momentum For Mental Health- Isp & Fsp
Momentum For Mental Health- Isp & Fsp is an health care organization with primary practice located at 150 S Autumn St Ste A , San Jose CA 95110-2515. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Momentum For Mental Health- Isp & Fsp can be contacted via phone (408) 938-6750, or through Smelser, John S via phone (408) 261-7777.

Contact Information

Primary practice address
150 S Autumn St Ste A San Jose CA 95110-2515
Phone: (408) 938-6750
Fax: (408) 977-0145
Website:
Map and Directions
Authorized official contact:
Name: Smelser, John S
Phone: (408) 261-7777

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1821215112
LBN Legal business name Momentum For Mental Health- Isp & Fsp
DBA Doing business as
Authorized official Smelser, John S
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Aug 1st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821215112 NPPES
California MEDICAID 0000043AR

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