Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MONTEREY INSTITUTE LICENSED CLINICAL SOCIAL WORKER, INC.
NPI 1083533590
Clinic/Center - Adult Mental Health in San Jose, CA

Active since July 10, 2026
79 DEVINE ST, SAN JOSE, CA 95110(408) 217-0880(408) 831-9441 Get Directions Write a Review

NPPES record added: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Monterey Institute Licensed Clinical Social Worker, Inc. NPPES

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

MONTEREY INSTITUTE LICENSED CLINICAL SOCIAL WORKER, INC. (NPI 1083533590) is a healthcare organization registered as an adult mental health in San Jose, California and active in the NPI registry since July 2026. The organization lists Mary Beth Puri, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1083533590
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMONTEREY INSTITUTE LICENSED CLINICAL SOCIAL WORKER, INC.
Location Address79 DEVINE STSan Jose, CA 95110-2483
Mailing Address574 Cortes StMonterey, CA 93940-3242 · (831) 747-4254 · Fax (831) 373-3821
Fax(408) 831-9441
Organization SubpartYes
Authorized OfficialMary Beth PuriDirector Of Operations · (208) 250-2724
Enumeration DateJuly 10, 2026
NPPES CertifiedJuly 10, 2026
NPI 1083533590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
79 DEVINE ST, San Jose, CA 95110

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 Monterey Institute Licensed Clinical Social Worker, Inc.'s NPI number?

The NPI number for Monterey Institute Licensed Clinical Social Worker, Inc. is 1083533590. It was assigned to this organization in the NPPES registry on July 10, 2026.

Where is Monterey Institute Licensed Clinical Social Worker, Inc. located?

Monterey Institute Licensed Clinical Social Worker, Inc. is located at 79 Devine St, San Jose, CA 95110. The listed phone number is (408) 217-0880.

What is Monterey Institute Licensed Clinical Social Worker, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Monterey Institute Licensed Clinical Social Worker, Inc. was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.