KYLE ADDISON
NPI 1700101540
Residential Treatment Facility, Emotionally Disturbed Children in San Jose, CA

Q: What is Kyle Addison's NPI number?

The NPI number for Kyle Addison is 1700101540. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Q: What is Kyle Addison's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Addison was last updated on April 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 05, 2010

6630 MARYMONTE CT, SAN JOSE, CA 95120(408) 205-8996 Get Directions Write a Review

NPPES record last updated: April 5, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kyle Addison NPPES

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

KYLE ADDISON (NPI 1700101540) is an individual residential treatment facility, emotionally disturbed children provider in San Jose, California, licensed in California (3649) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1700101540

Entity TypeIndividualMale

Primary Taxonomy322D00000X

Provider Legal NameKYLE ADDISON

Location Address6630 MARYMONTE CTSan Jose, CA 95120-4517

Mailing Address1058 S 5th St, Apt. #201San Jose, CA 95112-6702 · (510) 673-2285

Phone(408) 205-8996

Sole ProprietorYes

Enumeration DateApril 5, 2010

✔ NPI 1700101540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

License✔ Licensed in CA · 3649

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

6630 MARYMONTE CT, San Jose, CA 95120

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Other Providers at the Same Location NPPES

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

EMQ FAMILIES FIRST

Residential Treatment Facility, Emotionally Disturbed Children

6630 MARYMONTE CT
SAN JOSE, CA 95120

Santa Clara County (408) 205-8996

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 Kyle Addison's NPI number?

The NPI number for Kyle Addison is 1700101540. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Where is Kyle Addison located?

Kyle Addison practices at 6630 Marymonte Ct, San Jose, CA 95120. The listed phone number is (408) 205-8996.

What is Kyle Addison's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Kyle Addison was last updated on April 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.