Mindful Neuropsychology Professional Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20782 Issued in CA

Legal business name

MINDFUL NEUROPSYCHOLOGY PROFESSIONAL CORPORATION

Practice address

9255 Towne Centre Dr Ste 875
San Diego, CA 92121-3064

Phone

(858) 888-2668

Fax

(858) 455-5556

NPI assigned

Mar 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Han, PSY.D.

Title

President

Phone

(626) 589-6155

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Christopher Gerald Carstens, PH.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1215924014
  NPD (past)
• Christine Saroian, M.D.

  • Psychiatry Physician
  • Carlsbad, CA
  • NPI 1346329752
  NPD (past)
• Manuel David Tobias, PH.D.

  • Clinical Neuropsychologist
  • La Jolla, CA
  • NPI 1023002136
  NPD (past)
• Evelyn Anne Peck, PH.D.

  • Clinical Psychologist
  • Bowling Green, KY
  • NPI 1629272984
  NPD (past)

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1366717845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9255 TOWNE CENTRE DR STE 875",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213064",
            "telephone_number": "858-888-2668",
            "fax_number": "858-455-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9255 TOWNE CENTRE DR STE 875",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213064",
            "telephone_number": "858-888-2668",
            "fax_number": "858-455-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL NEUROPSYCHOLOGY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-589-6155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "20782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind in Motion Psychological Services Corporation
• Minder Neuropsychological Services Inc.
• Madison Mary Minder, MSW, ACSW
• Mindful Evolution Family Therapy Inc
• Mindful Moves Speech-Language Pathologist
• Joshua Mindlin, IDC
• Mindset Charter Schools Inc.
• Mindtune LLC
• Mindwell Collective
• Mindwise Psychological Services, Inc.

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.