Organization Active NPI

Mind-Body Care, Inc.

  • Clinical Psychologist
  • Mountain View, CA
National Provider Identifier
1093115347
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26333 Issued in CA
Legal business name
MIND-BODY CARE, INC.
Practice address
2672 Bayshore Pkwy Ste 1045
Mountain View, CA 94043-1015
Phone
(650) 862-7320
NPI assigned
Aug 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Dr. Shilpa Kapoor, PSY.DNPI 1730313784
Title
Clinical Psychologist
Phone
(508) 627-3206

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY26333 CA Primary

Addresses

Primary practice location

2672 Bayshore Pkwy Ste 1045
Mountain View, CA 94043-1015

Mailing address

6754 Bernal Ave # 740-285
Pleasanton, CA 94566-1232
Phone (650) 862-7320

Other practice location 1

6754 Bernal Ave # 740-285
Pleasanton, CA 94566-1232
Phone (650) 862-7320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150702001687 CA Part B Supplier - Clinic/Group Practice 7517279664 Receives reassigned benefits from 1 practitioner
Practice locations: Mountain View, CA

National Provider Directory

National Provider Directory

Locations

11740 Dublin Blvd
Ste 206
Dublin, CA 94568
Phone (408) 520-1002

7172 Regional St
Dublin, CA 94568
Phone (415) 215-6108

2672 Bayshore Pkwy
Ste 1045
Mountain View, CA 94043
Phone (650) 265-4288

825 San Antonio Rd
Ste 102
Palo Alto, CA 94303
Phone (408) 520-1002

6754 Bernal Ave
#740285
Pleasanton, CA 94566
Phone (650) 862-7320

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1408752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1093115347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6754 BERNAL AVE # 740-285",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945661232",
            "telephone_number": "650-862-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2672 BAYSHORE PKWY STE 1045",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431015",
            "telephone_number": "650-862-7320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6754 Bernal Ave # 740-285",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945661232",
            "country_code": "US",
            "telephone_number": "650-862-7320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND-BODY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-23",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "KAPOOR",
        "authorized_official_first_name": "SHILPA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "508-627-3206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.