Mindful Practice Incorporated a Psychological Corporation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PSY14246 Issued in CA

Legal business name

MINDFUL PRACTICE INCORPORATED A PSYCHOLOGICAL CORPORATION

Practice address

28544 Old Town Front St Ste 300
Temecula, CA 92590-2762

Phone

(909) 262-8325

NPI assigned

May 25, 2018

Organization subpart

No

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

Authorized official

Name

Renda Dionne Madrigal, PHDNPI 1043667298

Title

President

Phone

(909) 262-8325

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renda Madrigal, PH.D.

  • Psychologist
  • Temecula, CA
  • NPI 1043667298
  NPD Authorized official

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1609367515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31805 TEMECULA PKWY # 552",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925928203",
            "telephone_number": "909-262-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28544 OLD TOWN FRONT ST STE 300",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902762",
            "telephone_number": "909-262-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PRACTICE INCORPORATED A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "MADRIGAL",
        "authorized_official_first_name": "RENDA",
        "authorized_official_middle_name": "DIONNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-262-8325",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "PSY14246",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "PSY14246",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "PSY14246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Minhky Young DDS, P.C.
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• Genevieve M Minka, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Temecula, CA
• Providers in Temecula, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.