Organization Active NPI

Grit Mindset Therapy a Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • Mountain View, CA
National Provider Identifier
1124617162
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GRIT MINDSET THERAPY A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Practice address
800 W El Camino Real Ste 180
Mountain View, CA 94040-2586
Phone
(650) 880-3132
NPI assigned
Jan 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Munnyuan Saechao, PSYD, LCSW
Title
President
Phone
(650) 880-3132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

800 W El Camino Real Ste 180
Mountain View, CA 94040-2586

Mailing address

800 W El Camino Real Ste 180
Mountain View, CA 94040-2586
Phone (650) 880-3132

Other identifiers 1

IdentifierTypeStateIssuer
1518117662OtherCANPI

National Provider Directory

National Provider Directory

Locations

2685 Marine Way
Mountain View, CA 94043

2685 Marine Way
Ste 1220
Mountain View, CA 94043
Phone (650) 206-7172

800 W El Camino Real
Ste 180
Mountain View, CA 94040
Phone (437) 998-2879

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1124617162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W EL CAMINO REAL STE 180",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402586",
            "telephone_number": "650-880-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W EL CAMINO REAL STE 180",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402586",
            "telephone_number": "650-880-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIT MINDSET THERAPY A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2022-11-11",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "SAECHAO",
        "authorized_official_first_name": "MUNNYUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-880-3132",
        "authorized_official_credential": "PSYD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518117662",
            "state": "CA"
        }
    ],
    "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 Nov 11, 2022; 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.