Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crestline Medical Group PC

Organization Mental Health Counselor · NPI 1861348351

Crestline Medical Group PC is a Mental Health Counselor in San Jose, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
5
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

325 S 1st St Ste 200
San Jose, CA 95113-2835
Phone: (415) 839-7564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Mental Health Counselor Taxonomy 101YM0800X
Psychologist Taxonomy 103T00000X
Counseling Psychologist Taxonomy 103TC1900X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1861348351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Snipes — Owner · (213) 827-3038
NPI enumeratedMarch 6, 2026
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address325 S 1st St Ste 200, San Jose, CA 95113-2835

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