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: August 02, 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

Other Providers at the Same Location NPPES 20

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

Case Manager/Care Coordinator
86 S 14TH ST, ALLIANCE FOR COMMUNITY CARE INTENSIVE SERVICES PROGRAM
SAN JOSE, CA 95112
Rehabilitation Practitioner
86 S 14TH ST
SAN JOSE, CA 95112
Case Manager/Care Coordinator
86 S 14TH ST
SAN JOSE, CA 95112
Case Manager/Care Coordinator
86 S 14TH ST
SAN JOSE, CA 95112
Social Worker
86 S 14TH ST, ALLIANCE FOR COMMUNITY CARE ISP
SAN JOSE, CA 95112
Counselor (Mental Health)
86 S 14TH ST
SAN JOSE, CA 95112
Case Manager/Care Coordinator
86 S 14TH ST, ALLIANCE FOR COMMUNITY CARE INTENSIVE SERVICES PROGRAM
SAN JOSE, CA 95112
Case Manager/Care Coordinator
86 S 14TH ST, ALLIANCE FOR COMMUNITY CARE INTENSIVE CARE SERVICES PRO
SAN JOSE, CA 95112

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.

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.