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SPREAD YOUR WINGS FOR MENTAL HEALTH INC NPI 1760969539


NPI Information

NPI: 1760969539
Provider Name: SPREAD YOUR WINGS FOR MENTAL HEALTH INC

Doing Business As: ACCESS MENTAL HEALTH, INC

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
570 BLOSSOM HILL RD
SAN JOSE, CA
ZIP 95123
Phone: (855) 799-4647
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SPREAD YOUR WINGS FOR MENTAL HEALTH INC is a psychiatry psychiatry neurology in San Jose, CA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. SPREAD YOUR WINGS FOR MENTAL HEALTH INC NPI is 1760969539. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Access Mental Health, Inc.

The provider's business location address is:

570 BLOSSOM HILL RD
SAN JOSE, CA
ZIP 95123-212
Phone: (855) 799-4647

The provider's authorized official is Andrew Serry Dumbuya .
The authorized official title is Ceo and has the following contact phone number (408) 401-2984.

The enumeration date for this NPI number is 7/25/2018 and was last updated on 10/22/2021.


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
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
52084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CA336219OTHERCALIFORNIACA MEDICARE

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

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