Organization Active NPI

Mindful Health Inc

  • Psychiatry Physician
  • Redwood City, CA
National Provider Identifier
1538328554
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A72944 Issued in CA
Legal business name
MINDFUL HEALTH INC
Practice address
2000 Broadway St
Ste 234
Redwood City, CA 94063-1843
Phone
(650) 363-7234
Fax
(650) 363-7279
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
William Maxwell Burns, MD
Title
President
Phone
(650) 363-7234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A72944 CA Primary

Addresses

Primary practice location

2000 Broadway St
Ste 234
Redwood City, CA 94063-1843

Mailing address

2000 Broadway St
Ste 234
Redwood City, CA 94063-1843
Phone (650) 363-7234

National Provider Directory

National Provider Directory

Locations

2000 Broadway St
Ste 234
Redwood City, CA 94063
Phone (650) 363-7234

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1538328554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BROADWAY ST",
            "address_2": "STE 234",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631843",
            "telephone_number": "650-363-7234",
            "fax_number": "650-363-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BROADWAY ST",
            "address_2": "STE 234",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631843",
            "telephone_number": "650-363-7234",
            "fax_number": "650-363-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MAXWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-363-7234",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A72944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.