| South Bay Community Counseling Center | |
|
1101 S Winchester Blvd Bldg O Suite 284 San Jose CA 95128 | |
| (408) 271-8558 | |
| (408) 248-8260 |
| Full Name | South Bay Community Counseling Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1101 S Winchester Blvd Bldg O Suite 284, San Jose, California |
| Authorized Official Name and Position | Clifford Michael Brothers (VICE PRESIDENT DIRECTOR) |
| Authorized Official Contact | 4082718558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Community Counseling Center 1101 S Winchester Blvd Bldg O Suite 284 San Jose CA 95128 Ph: (408) 271-8558 | South Bay Community Counseling Center 1101 S Winchester Blvd Bldg O Suite 284 San Jose CA 95128 Ph: (408) 271-8558 |
| NPI Number | 1316083884 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3678619673 |
|---|---|
| Medicare Enrollment ID | O20091006000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316083884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Carolyn L Brothers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679610588 PECOS PAC ID: 0446300024 Enrollment ID: I20090603000343 |
N/a Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2625 Zanker Rd, 101, San Jose, CA 95134 Phone: 408-325-5230 Fax: 408-944-0468 | |
Lauren Capano Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3970 The Woods Dr, Apt. 524, San Jose, CA 95136 Phone: 646-761-8982 | |
Alum Rock Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 277 Mahoney Dr, San Jose, CA 95127 Phone: 408-240-0070 | |
Abode Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Southwest Expy, San Jose, CA 95126 Phone: 510-270-1150 | |
Pacific Clinics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Wabash Ave, San Jose, CA 95128 Phone: 408-295-1814 | |
Sondermind Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6203 San Ignacio Ave Ste 110, San Jose, CA 95119 Phone: 844-843-7279 | |
Radical Roots Psychotherapy, A Licensed Clinical Social Worker, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1875 Mac Duee Ct., San Jose, CA 95121 Phone: 609-694-1872 |