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STARLIGHT ADOLESCENT
NPI 1811024789
Community Based Residential Treatment Facility, Mental Illness in San Jose, CA

Active since February 27, 2007
5858 PADDON CIR, SAN JOSE, CA 95123(408) 629-5048 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Starlight Adolescent NPPES

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

STARLIGHT ADOLESCENT (NPI 1811024789) is a healthcare organization registered as a community based residential treatment facility, mental illness in San Jose, California and active in the NPI registry since February 2007. The organization lists Victoria Remi Oyewole, Lpt, as its authorized official.

NPPES Registry Identity

NPI1811024789
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSTARLIGHT ADOLESCENT
Location Address5858 PADDON CIRSan Jose, CA 95123-3522
Mailing Address5858 Paddon CirSan Jose, CA 95123-3522 · (408) 629-5048
Phone(408) 629-5048
Organization SubpartNo
Authorized OfficialVictoria Remi OyewoleLpt · (408) 661-9236
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1811024789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in CA · 32240
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
5858 PADDON CIR, San Jose, CA 95123
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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 Starlight Adolescent's NPI number?

The NPI number for Starlight Adolescent is 1811024789. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Starlight Adolescent located?

Starlight Adolescent is located at 5858 Paddon Cir, San Jose, CA 95123. The listed phone number is (408) 629-5048.

What is Starlight Adolescent's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Starlight Adolescent was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.