MEDICARE: CAMPBELL TEEN & FAMILY THERAPY

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
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1508080953	OTHER	CA	NPI

General Provider Information

NPI Number	:	1285279869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMPBELL TEEN & FAMILY THERAPY

Provider Business Mailing Address
First Line	:	441 N CENTRAL AVE STE 6
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95008-1428
Country	:	US
Telephone Number	:	408-579-9806
Fax Number	:

Provider Business Practice Location Address
First Line	:	441 N CENTRAL AVE STE 6
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95008-1428
Country	:	US
Telephone Number	:	408-579-9806
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	INGRID T HIGGINS
Credential	:	MA
Telephone Number	:	408-579-9806

Provider Enumeration Date	:	11/07/2019
Last Update Date	:	11/07/2019

Similar Medicare Providers

1417351909 — LAURA TODD
Practice Location Address:

441 N CENTRAL AVE STE 2A
CAMPBELL, CA
95008-1428

Practice Phone: 669-256-0581
Practice Fax:

1598889545 — STEPHANIE DAWN BROOKS MS, RD, CEDRD
Practice Location Address:

441 N CENTRAL AVE STE 2A
CAMPBELL, CA
95008-1428

Practice Phone: 408-370-7731
Practice Fax: 408-370-7732

1477677425 — BAY AREA NUTRITION, LLC
Practice Location Address:

441 N CENTRAL AVE STE 2A
CAMPBELL, CA
95008-1428

Practice Phone: 408-370-7731
Practice Fax: 408-370-7732

1811010978 — STEPHANIE MICHELLE CHASE MFT
Practice Location Address:

441 N CENTRAL AVE STE 6
CAMPBELL, CA
95008-1428

Practice Phone: 408-508-4892
Practice Fax:

1558627182 — AMIT D. DESAI MD
Practice Location Address:

441 N CENTRAL AVE STE 6
CAMPBELL, CA
95008-1428

Practice Phone: 858-361-2113
Practice Fax: 858-357-9747

1154706919 — NELSON FRANCISCO SAEZ
Practice Location Address:

441 N CENTRAL AVE STE 3
CAMPBELL, CA
95008-1428

Practice Phone: 831-854-7251
Practice Fax:

Directions to “CAMPBELL TEEN & FAMILY THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.