Organization Active NPI

William C. Klindt, M.D. Inc.

Doing business as Clear Minds Integrative Mental Health

  • Child & Adolescent Psychiatry Physician
  • Los Gatos, CA
National Provider Identifier
1053832808
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
G69058 Issued in CA
Legal business name
WILLIAM C. KLINDT, M.D. INC.
Doing business as
Clear Minds Integrative Mental Health
Practice address
15215 National Ave Ste 101
Los Gatos, CA 95032-2425
Phone
(408) 690-1573
NPI assigned
Jul 2, 2017
Organization subpart
Yes
Parent organization
WILLIAM C. KLINDT, M.D. INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William C. Klindt, MDNPI 1093904005
Title
Owner
Phone
(408) 690-1573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 91270 CA
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X G69058 CA
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X G69058 CA Primary

Addresses

Primary practice location

15215 National Ave Ste 101
Los Gatos, CA 95032-2425

Mailing address

3880 S Bascom Ave Ste 202
San Jose, CA 95124-2675
Phone (408) 690-1573

Other identifiers 2

IdentifierTypeStateIssuer
1679874960OtherCANPI
1124235569OtherCANPI NUMBER

Other names 1

  • Clear Minds Integrative Mental Health Doing business as

National Provider Directory

National Provider Directory
Part of
William C Klindt MD Inc

Locations

15215 National Ave
Ste 101
Los Gatos, CA 95032
Phone (408) 356-2900

3880 S Bascom Ave
Ste 202
San Jose, CA 95124
Phone (408) 559-1115

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1053832808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 S BASCOM AVE STE 202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242675",
            "telephone_number": "408-690-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 NATIONAL AVE STE 101",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322425",
            "telephone_number": "408-690-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C. KLINDT, M.D. INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAM C. KLINDT, M.D. INC.",
        "enumeration_date": "2017-07-02",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "KLINDT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-690-1573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "91270",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G69058",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G69058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679874960",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1124235569",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Minds Integrative Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.