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NPI Code Detail

MEDICARE: MOMENTUM FOR HEALTH

MEDICARE: MOMENTUM FOR HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

General Provider Information

NPI Number : 1699474130
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOMENTUM FOR HEALTH
Provider Business Mailing Address
First Line : 1922 THE ALAMEDA STE 316
Second Line :
City : SAN JOSE
State : CA
Zip : 95126-1461
Country : US
Telephone Number : 408-261-7777
Fax Number : 408-642-6052
Provider Business Practice Location Address
First Line : 1922 THE ALAMEDA
Second Line :
City : SAN JOSE
State : CA
Zip : 95126-1457
Country : US
Telephone Number : 408-510-6284
Fax Number : 408-642-6052
Authorized Official
Title or Position : CEO
Name : MICHAEL SCATES
Credential :
Telephone Number : 408-261-7777
Provider Enumeration Date : 02/23/2023
Last Update Date : 06/01/2026

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Directions to “MOMENTUM FOR HEALTH ” Practice Location

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