Momentum Fro Mental Health - Donnas Place

LBN: Momentum Fro Mental Health - Donnas Place
Momentum Fro Mental Health - Donnas Place is an health care organization with primary practice located at 2001 The Alameda , San Jose CA 95126-1136. 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 Fro Mental Health - Donnas Place can be contacted via phone (408) 261-7777, or through Smelser, John S. via phone (408) 261-7777.

Contact Information

Primary practice address
2001 The Alameda San Jose CA 95126-1136
Fax: (408) 554-9960
Website:
Authorized official contact:
Name: Smelser, John S.

Health care specialties

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

Profile Details

NPI number 1477765105
LBN Legal business name Momentum Fro Mental Health - Donnas Place
DBA Doing business as
Authorized official Smelser, John S.
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Aug 6th, 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 1477765105 NPPES
California MEDICAID 000008389

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