Disruptive Therapy Collective for the Individual, Family, and Child
NPI 1083392302 · Mental Health Clinic/Center (Including Community Mental Health Center) · San Jose, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Disruptive Therapy Collective for the Individual, Family, and Child is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in San Jose, CA (NPI 1083392302).
Provider details
- NPI number
- 1083392302
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alice Bui, Ceo(408) 365-4238
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Disruptive Therapy Collective
- Doing business as
- Disruptive Therapy Collective
Registry dates
- Enumerated
- 2023-07-06
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Frequently asked questions
- What is Disruptive Therapy Collective for the Individual, Family, and Child's NPI number?
- Disruptive Therapy Collective for the Individual, Family, and Child's National Provider Identifier (NPI) is 1083392302, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Disruptive Therapy Collective for the Individual, Family, and Child?
- Disruptive Therapy Collective for the Individual, Family, and Child is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Disruptive Therapy Collective for the Individual, Family, and Child located?
- Disruptive Therapy Collective for the Individual, Family, and Child's practice location on file with NPPES is 1769 Park Ave Ste 250, San Jose, CA 95126-2030.
- What is Disruptive Therapy Collective for the Individual, Family, and Child's phone number?
- The practice phone number listed in the NPPES registry for Disruptive Therapy Collective for the Individual, Family, and Child is (408) 365-4238.
- Does Disruptive Therapy Collective for the Individual, Family, and Child accept Medicare?
- Disruptive Therapy Collective for the Individual, Family, and Child is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Disruptive Therapy Collective for the Individual, Family, and Child?
- The authorized official listed on Disruptive Therapy Collective for the Individual, Family, and Child's NPPES record is Alice Bui, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Disruptive Therapy Collective for the Individual, Family, and Child's NPI active?
- Yes — Disruptive Therapy Collective for the Individual, Family, and Child's NPI (1083392302) is active in the NPPES registry as of the last update on 2026-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.