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DISRUPTIVE THERAPY COLLECTIVE
NPI 1083559314
Counselor - Mental Health in San Jose, CA

Active since April 22, 2026
1769 PARK AVE STE 250, SAN JOSE, CA 95126(408) 365-4238 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Disruptive Therapy Collective NPPES

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

DISRUPTIVE THERAPY COLLECTIVE (NPI 1083559314) is a healthcare organization registered as a mental health in San Jose, California and active in the NPI registry since April 2026. The organization lists Alice Bui, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083559314
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameDISRUPTIVE THERAPY COLLECTIVE
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 DateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1083559314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1769 PARK AVE STE 250, San Jose, CA 95126
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 FOR THE INDIVIDUAL, FAMILY, AND CHILD
Clinic/Center (Mental Health (Including Community Mental Health Center))
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's NPI number?

The NPI number for Disruptive Therapy Collective is 1083559314. It was assigned to this organization in the NPPES registry on April 22, 2026.

Where is Disruptive Therapy Collective located?

Disruptive Therapy Collective 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's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Disruptive Therapy Collective was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.