Provider Demographics
NPI:1962288514
Name:AMERICAN PROFESSIONAL WELLBEING ASSOCIATION
Entity type:Organization
Organization Name:AMERICAN PROFESSIONAL WELLBEING ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:CRIVELLO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:408-840-6637
Mailing Address - Street 1:8339 CHURCH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-4450
Mailing Address - Country:US
Mailing Address - Phone:408-722-5572
Mailing Address - Fax:408-848-1872
Practice Address - Street 1:8339 CHURCH ST STE 105
Practice Address - Street 2:
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-4450
Practice Address - Country:US
Practice Address - Phone:408-722-5572
Practice Address - Fax:408-848-1872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty