MOMENTUM FOR HEALTH - FSP IMD
NPI 1285877308
Psychologist in San Jose, CA

NPI Status: Active since April 20, 2009

Contact Information

86 S 14TH ST
SAN JOSE, CA
ZIP 95112
Phone: (408) 938-8500
Fax: (408) 295-4231

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  • Organization
  • Psychologist

About MOMENTUM FOR HEALTH - FSP IMD

This page provides the complete NPI Profile along with additional information for Momentum For Health - Fsp Imd, a provider established in San Jose, California operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1285877308 assigned on April 2009. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Momentum For Health - Fsp Imd operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's former legal business name is Momentum For Mental Health - Fsp Imd. The authorized official of this NPI record is David K. Mineta (Ceo)

NPI
1285877308
Provider Legal Name
MOMENTUM FOR HEALTH - FSP IMD
Other Organization Name
MOMENTUM FOR MENTAL HEALTH - FSP IMD
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
86 S 14TH ST SAN JOSE, CA 95112
Location Phone
(408) 938-8500
Location Fax
(408) 295-4231
Mailing Address
1922 THE ALAMEDA SAN JOSE, CA 95126
Mailing Phone
(408) 642-6053
Mailing Fax
(408) 295-4231
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-20-2009
Last Update Date
12-28-2022
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A psychologist like Momentum For Health - Fsp Imd studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID K. MINETA

Authorized Official Title
CEO
Authorized Official Phone
(669) 213-0755

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285877308
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651671430
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 6 + 7 + 1 + 4 + 3 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1285877308 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457403081MS. ALICIA LOUISE CABELLO
Individual
Case Manager/Care Coordinator86 S 14TH ST ALLIANCE FOR COMMUNITY CARE INTENSIVE SERVICES PROGRAM
SAN JOSE, CA 95112
(408) 938-6750
1699827220MISS VINH K VU
Individual
Case Manager/Care Coordinator86 S 14TH ST ALLIANCE FOR COMMUNITY CARE ISP
SAN JOSE, CA 95112
(408) 938-6750
1134271778MR. JERRY RICHARD MCCANN
Individual
Case Manager/Care Coordinator86 S 14TH ST ALLIANCE FOR COMMUNITY CARE INTENSIVE SERVICES PROGRAM
SAN JOSE, CA 95112
(408) 938-6750
1265584205MS. ALICE MARGARET FERNANDEZ
Individual
Case Manager/Care Coordinator86 S 14TH ST ALLIANCE FOR COMMUNITY CARE INTENSIVE SERVICES PROGRAM
SAN JOSE, CA 95112
(408) 938-6750
1255470605MR. MARTHA C BARENBRUGGE LCSW
Individual
Social Worker86 S 14TH ST ALLIANCE FOR COMMUNITY CARE ISP
SAN JOSE, CA 95112
(408) 938-6750
1285761478MR. DAN CORREA
Individual
Case Manager/Care Coordinator86 S 14TH ST
SAN JOSE, CA 95112
(408) 938-6750
1275666117MS. TRICIA JORDAN MLNARIK
Individual
Case Manager/Care Coordinator86 S 14TH ST ALLIANCE FOR COMMUNITY CARE INTENSIVE CARE SERVICES PRO
SAN JOSE, CA 95112
(408) 938-6750
1255674180MS. PATRICIA TIERNEY LYNCH MA MDIV
Individual
Counselor (Mental Health)86 S 14TH ST
SAN JOSE, CA 95112
(408) 938-8500
1720526601MR. STEPHEN GILLIGAN TULL
Individual
Peer Specialist86 S 14TH ST
SAN JOSE, CA 95112
(408) 510-7080
1932370434 KAREN DELOYCE CAMESE LMFT
Individual
Marriage & Family Therapist86 S 14TH ST
SAN JOSE, CA 95112
(408) 510-7080
1487174835MS. KRISTINA ELIZABETH STEVENS
Individual
Student in an Organized Health Care Education/Training Program86 S 14TH ST
SAN JOSE, CA 95112
(408) 254-6828
1811395858 SHELBY L WEBER MS, LPCC, LPC-T
Individual
Counselor (Professional)86 S 14TH ST
SAN JOSE, CA 95112
(408) 510-7080
1902317464 LOBELLE MAGSOMBOL LUCIO AMFT
Individual
Counselor (Mental Health)86 S 14TH ST
SAN JOSE, CA 95112
(408) 510-7080
1205546371 JENNY MARTINEZ
Individual
Case Manager/Care Coordinator86 S 14TH ST
SAN JOSE, CA 95112
(408) 254-6828
1205506433 LARRY NGUYEN
Individual
Case Manager/Care Coordinator86 S 14TH ST
SAN JOSE, CA 95112
(408) 510-7080
1568089852 JOSELYN OBLEA
Individual
Case Manager/Care Coordinator86 S 14TH ST
SAN JOSE, CA 95112
(408) 510-7080
1336712744 KHADEJA TRAN
Individual
Social Worker86 S 14TH ST
SAN JOSE, CA 95112
(408) 510-7080
1447878459 JORGE ADRIAN JAIME
Individual
Case Manager/Care Coordinator86 S 14TH ST
SAN JOSE, CA 95112
(408) 510-7080
1659670032MOMENTUM FOR HEALTH
Organization
Community/Behavioral Health86 S 14TH ST
SAN JOSE, CA 95112
(408) 510-7080
1427405950 ELIZABETH ANN BURROUGH
Individual
Case Manager/Care Coordinator86 S 14TH ST
SAN JOSE, CA 95112
(408) 510-7080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285877308, enumerated in the NPI registry as an "organization" on April 20, 2009

The provider is located at 86 S 14th St San Jose, Ca 95112 and the phone number is (408) 938-8500

This medical organization specializes in Psychologist with taxonomy code 103T00000X

This NPI record was last updated on April 20, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.