Victor Masaru Thompson, | |
96 W Campbell Ave, Campbell, CA 95008-1029 | |
(831) 273-5373 | |
Not Available |
Full Name | Victor Masaru Thompson |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 96 W Campbell Ave, Campbell, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003214446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 140958 (California) | Primary |
Entity Name | Momentum For Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154426807 PECOS PAC ID: 2769377217 Enrollment ID: O20040618001294 |
Mailing Address | Practice Location Address |
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Victor Masaru Thompson, 767 Adeline Ave, San Jose, CA 95136-4859 Ph: (408) 393-0742 | Victor Masaru Thompson, 96 W Campbell Ave, Campbell, CA 95008-1029 Ph: (831) 273-5373 |
Ms. Karena Caia Petersen, MARRIAGE FAMILY THER Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 137 E Hamilton Ave Ste 204, Campbell, CA 95008 Phone: 408-772-0644 Fax: 408-364-1684 | |
Ashley Renee Rarick, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 46 N 2nd St, Campbell, CA 95008 Phone: 408-345-5572 | |
Ms. Barbara Diane Melone, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 579 Latimer Circle, Campbell, CA 95008 Phone: 408-866-7946 | |
Tasya Bychkova, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 51 E Campbell Ave, Suite 107a, Campbell, CA 95008 Phone: 408-409-5435 | |
Lauren Elizabeth Smith, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 251 Llewellyn Ave, Campbell, CA 95008 Phone: 408-628-5562 Fax: 408-364-4010 | |
Mr. Jonathan Scott Bartlett, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1350 Dell Ave, Suite 130, Campbell, CA 95008 Phone: 408-353-3791 |