Clarity Mindful Living Psychological Services, Incorporated

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY26154 Issued in CA

Legal business name

CLARITY MINDFUL LIVING PSYCHOLOGICAL SERVICES, INCORPORATED

Doing business as

Clarity Mindful Living

Practice address

870 Market St
Suite 1013
San Francisco, CA 94102-3099

Phone

(415) 439-3795

NPI assigned

Sep 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mario Sandoval, PHD

Title

Director

Phone

(415) 439-3795

Specialties & licenses 5

Addresses

Other names 1

• Clarity Mindful Living Doing business as

Locations

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1467900852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MARKET ST",
            "address_2": "SUITE 1013",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023099",
            "telephone_number": "415-439-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MARKET ST",
            "address_2": "SUITE 1013",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023099",
            "telephone_number": "415-439-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARITY MINDFUL LIVING PSYCHOLOGICAL SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-439-3795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CAADE156051",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY22817",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26154",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW62608",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT92700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarity Mindful Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ian Winston Clark-Johnson
• Jeanine Rhea Clark-Kent, RN
• Aaron Clark, MD, PHD

• Clinical Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.