Organization Active NPI

Of Two Minds Psychotherapy

  • Marriage & Family Therapist
  • Campbell, CA
National Provider Identifier
1265067185
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
OF TWO MINDS PSYCHOTHERAPY
Practice address
137 E Hamilton Ave Ste 205
Campbell, CA 95008-0244
Phone
(415) 841-3338
NPI assigned
Mar 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Kade Flach, MS, LMFTNPI 1225412679
Title
Psychotherapist/President
Phone
(415) 841-3338

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

137 E Hamilton Ave Ste 205
Campbell, CA 95008-0244

Mailing address

PO Box 110334
Campbell, CA 95011-0334
Phone (415) 841-3338

Other identifiers 2

IdentifierTypeStateIssuer
106366OtherCALMFT LICENSE NUMBER
1225412679OtherCAKATHLEEN FLACH'S NPI AS SOLE PROPRIETOR (BEFORE INCORPORATED AS OF TWO MINDS)

National Provider Directory

National Provider Directory

Locations

137 E Hamilton Ave
Ste 205
Campbell, CA 95008
Phone (415) 841-3338

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": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1265067185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110334",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950110334",
            "telephone_number": "415-841-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E HAMILTON AVE STE 205",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080244",
            "telephone_number": "415-841-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OF TWO MINDS PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "FLACH",
        "authorized_official_first_name": "KADE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "415-841-3338",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT LICENSE NUMBER",
            "identifier": "106366",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KATHLEEN FLACH'S NPI AS SOLE PROPRIETOR (BEFORE INCORPORATED AS OF TWO MINDS)",
            "identifier": "1225412679",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.