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MOMENTUM FOR HEALTH NPI 1346994258


NPI Information

NPI: 1346994258
Provider Name: MOMENTUM FOR HEALTH

Doing Business As: MOMENTUM FOR HEALTH - LA SELVA OUTPATIENT

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4139 EL CAMINO WAY
PALO ALTO, CA
ZIP 94306
Phone: (650) 617-8340
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MOMENTUM FOR HEALTH is a mental health counselor in Palo Alto, CA. MOMENTUM FOR HEALTH NPI is 1346994258. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Momentum For Health - La Selva Outpatient.

The provider's business location address is:

4139 EL CAMINO WAY
PALO ALTO, CA
ZIP 94306-010
Phone: (650) 617-8340
Fax: (408) 642-6052

The provider's authorized official is David K. Mineta .
The authorized official title is Ceo and has the following contact phone number (669) 213-0755.

The enumeration date for this NPI number is 2/9/2022 and was last updated on 2/22/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2104100000XSocial WorkerNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
5101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.