Organization Active NPI

Whole Mind, LLC

  • Psychiatry Physician
  • Novato, CA
National Provider Identifier
1427851211
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WHOLE MIND, LLC
Practice address
505 San Marin Dr Ste 150B
Novato, CA 94945-1309
Phone
(801) 477-7189
Fax
(888) 745-9274
NPI assigned
Mar 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Thomas Rayner
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 150B
Novato, CA 94945-1309

Mailing address

1221 S Valley Grove Way Ste 160
Pleasant Grove, UT 84062-6758
Phone (801) 477-7189

National Provider Directory

National Provider Directory
Tax ID family
Whole Mind2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1221 S Valley Grove Way
Ste 160
Pleasant Grove, UT 84062
Phone (801) 447-7189

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": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1427851211",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SAN MARIN DR STE 150B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949451309",
            "telephone_number": "801-477-7189",
            "fax_number": "888-745-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-02-28",
        "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"
    },
    "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 Mar 28, 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.