IndividualActive
Lindsay Blackwell
NPI 1134316722 · Emotionally Disturbed Childrens' Residential Treatment Facility · San Jose, CA
Provider details
- NPI number
- 1134316722
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% 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
463 Wooster Ave Apt D23
San Jose, CA 95116-1096
Phone: (408) 712-0825
Street-level locationGet directions
Mailing address
463 Wooster Ave Apt D23
San Jose, CA 95116-1096
Registry dates
- Enumerated
- 2007-09-27
- Last updated
- 2007-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.