Healthcare Provider Details
I. General information
NPI: 1588478531
Provider Name (Legal Business Name): ARC (ACHIEVING RESILIENCE THROUGH CONNECTION)
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/01/2025
Last Update Date: 11/02/2025
Certification Date: 11/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2490 HOSPITAL DR STE 212
MOUNTAIN VIEW CA
94040-4125
US
IV. Provider business mailing address
1360 EMERSON ST
PALO ALTO CA
94301-3530
US
V. Phone/Fax
- Phone: 650-727-1523
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
YANG
XU
Title or Position: FOUNDER
Credential: MD
Phone: 408-771-4002