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DISRUPTIVE THERAPY COLLECTIVE FOR THE INDIVIDUAL, FAMILY, AND CHILD
NPI 1083392302
Clinic/Center - Mental Health (Including Community Mental Health Center) in San Jose, CA

Active since July 06, 2023
1769 PARK AVE STE 250, SAN JOSE, CA 95126(408) 365-4238 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2026, Jul 6, 2023 (2 updates tracked since 2023).

About Disruptive Therapy Collective For The Individual, Family, And Child NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DISRUPTIVE THERAPY COLLECTIVE FOR THE INDIVIDUAL, FAMILY, AND CHILD (NPI 1083392302), doing business as Disruptive Therapy Collective, is a healthcare organization registered as a mental health (including community mental health center) in San Jose, California and active in the NPI registry since July 2023. The organization lists Alice Bui, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083392302
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameDISRUPTIVE THERAPY COLLECTIVE FOR THE INDIVIDUAL, FAMILY, AND CHILD
Location Address1769 PARK AVE STE 250San Jose, CA 95126-2030
Mailing Address1769 Park Ave Ste 250San Jose, CA 95126-2030 · (408) 365-4238
Phone(408) 365-4238
Organization SubpartNo
Authorized OfficialAlice BuiCeo · (408) 365-4238
Enumeration DateJuly 6, 2023
Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1083392302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1769 PARK AVE STE 250, San Jose, CA 95126
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Other Names 1

Doing Business AsDisruptive Therapy Collective

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALICE BUI LMFT
Marriage & Family Therapist
1769 PARK AVE STE 250
SAN JOSE, CA 95126
Santa Clara County (408) 365-4238
EDGAR CARDOZA BCBA
Behavior Analyst
1769 PARK AVE STE 250
SAN JOSE, CA 95126
Santa Clara County (866) 375-2437
DISRUPTIVE THERAPY COLLECTIVE
Counselor (Mental Health)
1769 PARK AVE STE 250
SAN JOSE, CA 95126
Santa Clara County (408) 365-4238
TATIANA MARTINEZ
Marriage & Family Therapist
1769 PARK AVE STE 250
SAN JOSE, CA 95126
Santa Clara County (408) 766-2436
AMIR ALI CRUZ-KHALILI BCBA
Behavior Analyst
1769 PARK AVE STE 250
SAN JOSE, CA 95126
Santa Clara County (866) 375-2437
EUGENE DOMINGUEZ VIGO
Marriage & Family Therapist
1769 PARK AVE STE 250
SAN JOSE, CA 95126
Santa Clara County (408) 365-4238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Disruptive Therapy Collective For The Individual, Family, And Child's NPI number?

The NPI number for Disruptive Therapy Collective For The Individual, Family, And Child is 1083392302. It was assigned to this organization in the NPPES registry on July 6, 2023. The provider is doing business as Disruptive Therapy Collective.

Where is Disruptive Therapy Collective For The Individual, Family, And Child located?

Disruptive Therapy Collective For The Individual, Family, And Child is located at 1769 Park Ave Ste 250, San Jose, CA 95126. The listed phone number is (408) 365-4238.

What is Disruptive Therapy Collective For The Individual, Family, And Child's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Disruptive Therapy Collective For The Individual, Family, And Child was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.