Active NPI
Whole Mind PC
- Psychiatry Physician
- Novato, CA
National Provider Identifier
1174417372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- WHOLE MIND PC
- Practice address
- 505 San Marin Dr Ste B150
Novato, CA 94945-1362 - Phone
- (801) 477-7189
- Fax
- (888) 745-9274
- NPI assigned
- Jun 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Rayner, MD
- Title
- Medical Director
- Phone
- (801) 477-7189
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
505 San Marin Dr Ste B150
Novato, CA 94945-1362
Mailing address
1221 S Valley Grove Way Ste 160
Pleasant Grove, UT 84062-6758
Phone (801) 477-7189
National Provider Directory
National Provider DirectoryLocations
505 San Marin Dr
Ste B150
Novato, CA 94945
Phone (415) 761-9490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748995200000",
"number": "1174417372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S VALLEY GROVE WAY STE 160",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840626758",
"telephone_number": "801-477-7189",
"fax_number": "888-745-9274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 SAN MARIN DR STE B150",
"city": "NOVATO",
"state": "CA",
"postal_code": "949451362",
"telephone_number": "801-477-7189",
"fax_number": "888-745-9274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLE MIND PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-04",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A",
"authorized_official_last_name": "RAYNER",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "801-477-7189",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.