SPREAD YOUR WINGS LLC
NPI 1376020313
Clinic/Center - Adult Mental Health in San Jose, CA

Q: What is Spread Your Wings LLC's NPI number?

The NPI number for Spread Your Wings LLC is 1376020313. It was assigned to this organization in the NPPES registry on July 23, 2018.

Q: What is Spread Your Wings LLC's specialty?

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

Active since July 23, 2018

150 N JACKSON AVE STE 10, SAN JOSE, CA 95116 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Spread Your Wings Llc NPPES

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

SPREAD YOUR WINGS LLC (NPI 1376020313) is a healthcare organization registered as an adult mental health in San Jose, California and active in the NPI registry since July 2018. The organization lists Andrew Serry Dumbuya, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376020313

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameSPREAD YOUR WINGS LLC

Location Address150 N JACKSON AVE STE 10San Jose, CA 95116-1908

Mailing Address96 W 2nd StMorgan Hill, CA 95037-4504

Organization SubpartNo

Authorized OfficialAndrew Serry DumbuyaCeo · (408) 401-2984

Enumeration DateJuly 23, 2018

✔ NPI 1376020313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

150 N JACKSON AVE STE 10, San Jose, CA 95116

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Spread Your Wings LLC's NPI number?

The NPI number for Spread Your Wings LLC is 1376020313. It was assigned to this organization in the NPPES registry on July 23, 2018.

Where is Spread Your Wings LLC located?

Spread Your Wings LLC is located at 150 N Jackson Ave Ste 10, San Jose, CA 95116.

What is Spread Your Wings LLC'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 Spread Your Wings LLC was last updated on July 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.