Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Disruptive Therapy Collective for the Individual, Family, and Child

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1083392302

Disruptive Therapy Collective for the Individual, Family, and Child is a Mental Health Clinic/Center (Including Community Mental Health Center) in San Jose, California. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

1769 Park Ave Ste 250
San Jose, CA 95126-2030
Phone: (408) 365-4238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1083392302
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alice Bui — Ceo · (408) 365-4238
Other names Disruptive Therapy Collective; Disruptive Therapy Collective
NPI enumeratedJuly 6, 2023
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address1769 Park Ave Ste 250, San Jose, CA 95126-2030

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