MIGHTY MINDS PSYCHOLOGICAL SERVICES, INC. (NPI# 1437623840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437623840 |
| Entity Type | Organization |
| Organization Name | MIGHTY MINDS PSYCHOLOGICAL SERVICES, INC. |
| Practice Address |
2088 Union St Ste 4 San Francisco CA 94123-4117 |
| Practice Telephone | 4157803239 |
| Mailing Telephone | 4157803239 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |
| Authorized Official Name | DR. NINA KAISER (OWNER/CEO) |
| Authorized Official Telephone | 4152713245 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Practice San Francisco | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2088 Union St Ste 4, San Francisco, CA 941234117 | 4157803239 | |
| 1958 Union St, San Francisco, CA 941234205 | 4157803239 |
| Street Address |
2088 UNION ST STE 4 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94123-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437611357 | Sarah Wenton Alexander | Occupational Therapist | 3007 Fillmore Street #3, San Francisco, CA 94123 | 2019-04-01 |
| 1306203138 | Cora Ann Keene | Marriage & Family Therapist | 1795 Union St, San Francisco, CA 94123 | 2016-01-25 |
| 1437556818 | Haley Alexander | Behavioral Analyst | 3750 Scott St Apt 205, San Francisco, CA 94123 | 2014-12-01 |
| 1992055040 | Robert J Buonfiglio | Psychologist | 1738 Union Street # 302, San Francisco, CA 94123 | 2012-09-17 |
| 1750656732 | Jane C Freston | Occupational Therapist | 1849 Chestnut Street, Apartment 4, San Francisco, CA 94123 | 2012-03-09 |
| 1700114212 | Marlene Ellen Kushner | Marriage & Family Therapist | 2918 Webster Street, San Francisco, CA 94123 | 2009-11-20 |
| 1487980447 | Acupuncture for Athletics | Acupuncturist | 1996 Union Street, 3rd Floor, San Francisco, CA 94123 | 2009-10-27 |
| 1104054436 | Sarah Elizabeth Bothe | Psychologist | 1738 Union Street, Suite 200, San Francisco, CA 94123 | 2009-06-25 |
| 1407099609 | Erika Cardamone | Speech-Language Pathologist | 2941 Gough St, 2, San Francisco, CA 94123 | 2009-04-17 |
| 1528216009 | Melissa Jeans Maglaque | Physical Therapist | 2065 Vallejo St Apt 3, San Francisco, CA 94123 | 2008-09-09 |
| Find all providers in zip 94123 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192116 | Elemental Health | Clinic/Center | 230 Central Ave Apt 11, San Francisco, CA 94117-2052 | 2020-04-14 |
| 1134639388 | Theresa C. Kira, Psyd, A Psychological Corporation | Clinic/Center | 870 Market St Ste 800, San Francisco, CA 94102-2903 | 2017-10-02 |
| 1043578198 | Healthright 360 | Clinic/Center | 555 Franklin St, San Francisco, CA 94102-4456 | 2012-04-26 |
| 1295092815 | Healthright 360 | Clinic/Center | 2290 14th Ave, San Francisco, CA 94116-1841 | 2012-04-20 |
| 1265638159 | University of Califronia, San Francisco | Clinic/Center | 1001 Potrero Ave, Building 5, Suite 6b, San Francisco, CA 94110 | 2007-06-26 |
| 1740486315 | University of California, San Francisco | Clinic/Center | 1001 Potrero Ave # 6b, San Francisco, CA 94110-3518 | 2007-06-21 |
| 1760031314 | The Healthy Teen Project, Inc. | Clinic/Center | 1400 Tennessee St Unit 3, San Francisco, CA 94107-3421 | 2019-09-06 |
| 1356749279 | Masonic Center for Youth and Families | Clinic/Center | 6 Funston Ave, San Francisco, CA 94129 | 2014-12-09 |
| 1104198670 | St Marys Medical Center | Clinic/Center | 450 Stanyan St, San Francisco, CA 94117-1019 | 2012-01-31 |
| 1174729065 | University of California, San Francisco | Clinic/Center | 995 Potrero Ave, Bldg 80, Ward 80, Basement Room 8000 S, San Francisco, CA 94110 | 2007-06-26 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94123 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.