Organization Active NPI

Mighty Minds Psychological Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • San Francisco, CA
National Provider Identifier
1437623840
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
MIGHTY MINDS PSYCHOLOGICAL SERVICES, INC.
Doing business as
Practice San Francisco
Practice address
2088 Union St Ste 4
San Francisco, CA 94123-4117
Phone
(415) 780-3239
NPI assigned
Jan 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Dr. Nina Kaiser, PHDNPI 1326289760
Title
Owner/Ceo
Phone
(415) 271-3245

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

2088 Union St Ste 4
San Francisco, CA 94123-4117

Mailing address

2088 Union St Ste 4
San Francisco, CA 94123-4117
Phone (415) 780-3239

Other practice location 1

2088 Union St Ste 4
San Francisco, CA 94123-4117
Phone (415) 780-3239

Other practice location 2

1958 Union St
San Francisco, CA 94123-4205
Phone (415) 780-3239

Other names 1

  • Practice San Francisco Doing business as

National Provider Directory

National Provider Directory

Locations

2088 Union St
Ste 4
San Francisco, CA 94123
Phone (415) 780-3239

1958 Union St
San Francisco, CA 94123
Phone (415) 780-3239

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": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1437623840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 UNION ST STE 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234117",
            "telephone_number": "415-780-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 UNION ST STE 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234117",
            "telephone_number": "415-780-3239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2088 Union St Ste 4",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941234117",
            "country_code": "US",
            "telephone_number": "415-780-3239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1958 Union St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941234205",
            "country_code": "US",
            "telephone_number": "415-780-3239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIGHTY MINDS PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "415-271-3245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Practice San Francisco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.