MOMENTUM FOR HEALTH - FSP IMD
NPI 1285877308
Psychologist in San Jose, CA

Active since April 20, 2009
86 S 14TH ST, SAN JOSE, CA 95112(408) 938-8500(408) 295-4231 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 28, 2022, Apr 5, 2021 (2 updates tracked since 2021).

About Momentum For Health - Fsp Imd NPPES

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

MOMENTUM FOR HEALTH - FSP IMD (NPI 1285877308), doing business as Momentum For Mental Health - Fsp Imd, is a healthcare organization registered as a psychologist in San Jose, California and active in the NPI registry since April 2009. The organization lists David K. Mineta, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285877308
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMOMENTUM FOR HEALTH - FSP IMD
Location Address86 S 14TH STSan Jose, CA 95112-2015
Mailing Address1922 The AlamedaSan Jose, CA 95126-1457 · (408) 642-6053 · Fax (408) 642-6049
Fax(408) 295-4231
Organization SubpartNo
Authorized OfficialDavid K. MinetaCeo · (669) 213-0755
Enumeration DateApril 20, 2009
Last NPPES UpdateDecember 28, 20222 updates tracked since enumeration
NPPES CertifiedDecember 28, 2022
✔ NPI 1285877308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
86 S 14TH ST, San Jose, CA 95112

Other Names 1

Former Legal Business NameMomentum For Mental Health - Fsp Imd

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Momentum For Health - Fsp Imd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

99

Medicare enrollment records show 99 clinicians reassign Medicare billing to Momentum For Health - Fsp Imd, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 52 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Psychiatry60
Marriage and Family Therapist17
Clinical Social Worker14
Nurse Practitioner3
Mental Health Counselor2
Clinical Psychologist1
General Surgery1
Neurology1

Nearest to this location (20)

See all 99
Marriage and Family Therapist
NPI 1790303030
96 S 14TH ST
San Jose, CA 95112
(408) 998-3293
✔ PECOSSame address
Psychiatry
NPI 1780783472
160 E VIRGINIA ST STE 280
San Jose, CA 95112
(408) 261-7135
✔ PECOS✔ Accepts Medicare1.1 mi
Clinical Social Worker
NPI 1780880369
160 E VIRGINIA ST STE 100
San Jose, CA 95112
(408) 287-6200
✔ PECOS✔ Accepts Medicare1.1 mi
Marriage and Family Therapist
NPI 1407221526
540 N 1ST ST
San Jose, CA 95112
(408) 510-3420
✔ PECOS✔ Accepts Medicare1.2 mi
Clinical Social Worker
NPI 1902342769
540 N 1ST ST
San Jose, CA 95112
(408) 510-3420
✔ PECOS✔ Accepts Medicare1.2 mi
Marriage and Family Therapist
NPI 1467794990
230 N MORRISON AVE
San Jose, CA 95126
(408) 938-8516
✔ PECOS1.9 mi
Marriage and Family Therapist
NPI 1699241851
101 JOSE FIGUERES AVE STE 10
San Jose, CA 95116
(408) 207-0565
✔ PECOS1.9 mi
Marriage and Family Therapist
NPI 1679109391
101 JOSE FIGUERES AVE STE 10
San Jose, CA 95116
(408) 207-0565
✔ PECOS✔ Accepts Medicare1.9 mi
Clinical Social Worker
NPI 1215190301
101 JOSE FIGUERES AVE STE 10
San Jose, CA 95116
(408) 207-0565
✔ PECOS1.9 mi
Clinical Social Worker
NPI 1780294249
101 JOSE FIGUERES AVE STE 50
San Jose, CA 95116
(408) 207-0560
✔ PECOS1.9 mi
Marriage and Family Therapist
NPI 1336631670
230 N MORRISON AVE
San Jose, CA 95126
(408) 938-8516
✔ PECOS2.1 mi
Clinical Social Worker
NPI 1316202864
1922 THE ALAMEDA STE 316
San Jose, CA 95126
(408) 261-7777
✔ PECOS✔ Accepts Medicare2.6 mi
Psychiatry
NPI 1386270247
1922 THE ALAMEDA
San Jose, CA 95126
(408) 261-7777
✔ PECOS✔ Accepts Medicare2.6 mi
Psychiatry
NPI 1699065342
2001 THE ALAMEDA
San Jose, CA 95126
(408) 261-7777
✔ PECOS✔ Accepts Medicare2.8 mi
Psychiatry
NPI 1609197219
2001 THE ALAMEDA
San Jose, CA 95126
(408) 261-7777
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1336553437
2001 THE ALAMEDA
San Jose, CA 95126
(408) 261-7777
✔ PECOS2.8 mi
Mental Health Counselor
NPI 1508360702
2001 THE ALAMEDA
San Jose, CA 95126
(408) 261-7777
✔ PECOS✔ Accepts Medicare2.8 mi
Clinical Psychologist
NPI 1023154721
2001 THE ALAMEDA MOMENTUM FOR MENTAL HEALTH SERVICE TEAM ADULT OUTPATIE
San Jose, CA 95126
(408) 261-7777
✔ PECOS2.8 mi
Nurse Practitioner
NPI 1285191742
2001 THE ALAMEDA
San Jose, CA 95126
(408) 261-7777
✔ PECOS✔ Accepts Medicare2.8 mi
Mental Health Counselor
NPI 1437897725
650 S BASCOM AVE STE B
San Jose, CA 95128
(408) 261-7777
✔ PECOS✔ Accepts Medicare3.5 mi
See all 99 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Momentum For Health - Fsp Imd's NPI number?

The NPI number for Momentum For Health - Fsp Imd is 1285877308. It was assigned to this organization in the NPPES registry on April 20, 2009. The provider was formerly known as Momentum For Mental Health - Fsp Imd.

Where is Momentum For Health - Fsp Imd located?

Momentum For Health - Fsp Imd is located at 86 S 14th St, San Jose, CA 95112. The listed phone number is (408) 938-8500.

What is Momentum For Health - Fsp Imd's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Momentum For Health - Fsp Imd enrolled in Medicare?

Yes. Momentum For Health - Fsp Imd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Momentum For Health - Fsp Imd?

According to the CMS Revalidation Reassignment List (October 2026 release), 99 clinicians in 8 Medicare specialties reassign their Medicare billing to Momentum For Health - Fsp Imd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (60), Marriage and Family Therapist (17) and Clinical Social Worker (14). Of these, 1 practice at this address and 52 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Momentum For Health - Fsp Imd was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.