Organization Active NPI

The Mind Institute Psychotherapy, Inc.

  • Clinical Psychologist
  • Wildomar, CA
National Provider Identifier
1598492423
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
THE MIND INSTITUTE PSYCHOTHERAPY, INC.
Practice address
32395 Clinton Keith Rd Ste A200
Wildomar, CA 92595-7568
Phone
(833) 345-8444
NPI assigned
Aug 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Dr. Sandra Cortez, PSY.D.
Title
Owner
Phone
(833) 345-8444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

32395 Clinton Keith Rd Ste A200
Wildomar, CA 92595-7568

Mailing address

32395 Clinton Keith Rd Ste A200
Wildomar, CA 92595-7568
Phone (760) 217-4799

Other practice location 1

2311 N Tracy Blvd Ste A
Tracy, CA 95376-2426
Phone (833) 345-8444

National Provider Directory

National Provider Directory

Locations

2311 N Tracy Blvd
Ste A
Tracy, CA 95376
Phone (209) 640-4179

2311 N Tracy Blvd
#A
Tracy, CA 95376

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1598492423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32395 CLINTON KEITH RD STE A200",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957568",
            "telephone_number": "760-217-4799",
            "fax_number": "833-345-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32395 CLINTON KEITH RD STE A200",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957568",
            "telephone_number": "833-345-8444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2311 N Tracy Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953762426",
            "country_code": "US",
            "telephone_number": "833-345-8444",
            "fax_number": "833-345-8444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE MIND INSTITUTE PSYCHOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-345-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.