MIND & BODY GARDEN, A PSYCHOLOGICAL CORPORATION (NPI# 1992262091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992262091 |
| Entity Type | Organization |
| Organization Name | MIND & BODY GARDEN, A PSYCHOLOGICAL CORPORATION |
| Practice Address |
885 N San Antonio Rd Ste O Los Altos CA 94022-1341 |
| Practice Telephone | 6504342563 |
| Practice Fax Number | 8332593486 |
| Mailing Telephone | 6504342563 |
| Mailing Fax Number | 8332593486 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |
| Authorized Official Name | YISHAN XU (CEO/DIRECTOR) |
| Authorized Official Telephone | 6199332591 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Street Address |
885 N SAN ANTONIO RD STE O |
| City | LOS ALTOS |
| State | CA |
| Zip Code | 94022-1341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093231581 | Yishan Xu | Psychologist | 885 N San Antonio Rd Ste O, Los Altos, CA 94022-1341 | 2017-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992290779 | Christine Hur | Optometrist | 4906 El Camino Real Ste B, Los Altos, CA 94022 | 2018-06-25 |
| 1386181709 | Xin Xia | Acupuncturist | 900 N San Antonio Rd Ste 103, Los Altos, CA 94022 | 2017-01-23 |
| 1083089494 | Catherine Constance Athens | Psychologist | 303 First St, Los Alto, CA 94022 | 2015-12-10 |
| 1952787475 | Tanya M. Gulevich | Marriage & Family Therapist | 146 Main St #215, Los Altos, CA 94022 | 2015-08-06 |
| 1154716975 | Gregory William Charville | Pathology | 300 Pasteur Drive, Room L235, Stanford, CA 94022 | 2015-03-30 |
| 1689096323 | Christine Stephanos | Pharmacist | 255 Second Street, Los Altos, CA 94022 | 2014-01-15 |
| 1316289044 | Isaac Ho | Student in an Organized Health Care Education/Training Program | 12696 La Cresta Drive, Los Altos Hills, CA 94022 | 2013-03-20 |
| 1144570698 | Julie Chayt Scott | Nutritionist | 395 Main Street, Los Altos, CA 94022 | 2012-09-12 |
| 1730454455 | Vincent Peter Zarcone Jr. | Psychiatry & Neurology | 227 Verano Dr, Los Altos, CA 94022 | 2012-03-13 |
| 1841561545 | Charles John Martell | Preventive Medicine | 19 Bay Tree Lane, Los Altos, CA 94022 | 2012-01-26 |
| Find all providers in zip 94022 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205455250 | Vladimir Anoyan | Psychologist | 376 Amherst Dr Apt A, Burbank, CA 91504-4220 | 2020-04-09 |
| 1235770181 | The Lotus Collaborative, Inc., A Psychology Clinic | Psychologist | 611 Mission St, Santa Cruz, CA 95060-3612 | 2019-10-02 |
| 1841845716 | Jonathan Pappas Marriage Family Therapy Inc. | Psychologist | 100 E Thousand Oaks Blvd Ste 326, Thousand Oaks, CA 91360-5713 | 2019-08-07 |
| 1710547690 | The Institute for Professional Parenting (tipp) | Psychologist | 15650 Devonshire Street, Suite 210-212, Granada Hills, CA 91344 | 2019-06-13 |
| 1528574019 | Jori Adler Marriage & Family Therapy Prof. Corp. | Psychologist | 3846 Lyceum Ave, Los Angeles, CA 90066-4125 | 2017-12-19 |
| 1609396472 | Rosanne Miranda | Psychologist | 3500 Barranca Pkwy Ste 305, Irvine, CA 92606-8232 | 2017-06-22 |
| 1972055655 | Richard Linares | Psychologist | 270 W 5th St, Oxnard, CA 93030-7107 | 2016-10-28 |
| 1912397787 | Operation:i.v.,inc | Psychologist | 1000 Town Center Dr Ste 300, Oxnard, CA 93036-1117 | 2015-01-30 |
| 1427486133 | Apex Recovery and Wellness, A Professional Corp. | Psychologist | 36 Quail Ct Ste 100, Walnut Creek, CA 94596-5514 | 2013-10-16 |
| 1154768307 | Redwood Psychology Center, Inc. | Psychologist | 709 Davis St, Santa Rosa, CA 95401-4767 | 2013-05-29 |
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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.