NPIMap

Organization Active NPI

Clear Mind Inc

  • Addiction (Substance Use Disorder) Counselor
  • San Diego, CA
National Provider Identifier
1386903458
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
CLEAR MIND INC
Practice address
1940 54TH St
San Diego, CA 92105-5406
Phone
(323) 839-7818
Fax
(323) 566-6025
NPI assigned
May 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Kelvin Deleno Felix
Title
Executive Director
Phone
(323) 839-7818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1940 54TH St
San Diego, CA 92105-5406

Mailing address

P.O. Box 15821
Los Angeles, CA 90015
Phone (323) 839-7818

National Provider Directory

National Provider Directory

Locations

1940 54th St
San Diego, CA 92105
Phone (323) 839-7818

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1386903458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 15821",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90015",
            "telephone_number": "323-839-7818",
            "fax_number": "323-566-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 54TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055406",
            "telephone_number": "323-839-7818",
            "fax_number": "323-566-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MIND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "FELIX",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "DELENO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-839-7818"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.