NPI Code Details Logo

NPI 1588478531

NPI 1588478531 : ARC (ACHIEVING RESILIENCE THROUGH CONNECTION) : MOUNTAIN VIEW, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1588478531
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ARC (ACHIEVING RESILIENCE THROUGH CONNECTION) 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/01/2025
-----------------------------------------------------
    Last Update Date     |    11/02/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2490 HOSPITAL DR STE 212 
-----------------------------------------------------
    City                 |    MOUNTAIN VIEW
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94040-4125
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    650-727-1523
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1360 EMERSON ST 
-----------------------------------------------------
    City                 |    PALO ALTO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94301-3530
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    FOUNDER
-----------------------------------------------------
    Name                 |    DR. YANG  XU 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    408-771-4002
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084P0804X
-----------------------------------------------------
    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103T00000X
-----------------------------------------------------
    Taxonomy Name        |    Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    106H00000X
-----------------------------------------------------
    Taxonomy Name        |    Marriage & Family Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.