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INNOVATIVE RESOURCES SSM
NPI 1902643190
Peer Specialist in San Jose, CA

Active since July 13, 2024
619 N 1ST ST, SAN JOSE, CA 95112(916) 891-7552 Get Directions Write a Review

NPPES record last updated: July 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Innovative Resources Ssm NPPES

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

INNOVATIVE RESOURCES SSM (NPI 1902643190) is a healthcare organization registered as a peer specialist in San Jose, California and active in the NPI registry since July 2024. The organization lists Yolanda Lewis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1902643190
Entity TypeOrganization
Primary Taxonomy175T00000X
Legal Business NameINNOVATIVE RESOURCES SSM
Location Address619 N 1ST STSan Jose, CA 95112-5110
Mailing Address619 N 1st StSan Jose, CA 95112-5110 · (916) 891-7552
Phone(916) 891-7552
Organization SubpartNo
Authorized OfficialYolanda LewisExecutive Director · (855) 311-3335
Enumeration DateJuly 13, 2024
NPPES CertifiedJuly 13, 2024
✔ NPI 1902643190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
619 N 1ST ST, San Jose, CA 95112
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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

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 Innovative Resources Ssm's NPI number?

The NPI number for Innovative Resources Ssm is 1902643190. It was assigned to this organization in the NPPES registry on July 13, 2024.

Where is Innovative Resources Ssm located?

Innovative Resources Ssm is located at 619 N 1st St, San Jose, CA 95112. The listed phone number is (916) 891-7552.

What is Innovative Resources Ssm's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Innovative Resources Ssm was last updated on July 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.