Organization Active NPI

Whole Mind PC

  • Psychiatry Physician
  • Novato, CA
National Provider Identifier
1174417372
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Jun 4, 2025

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.