Clay Mind Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CLAY MIND PSYCHIATRY LLC

Practice address

578 Main St Ste 202B
Malden, MA 02148-4095

Phone

(617) 299-0928

NPI assigned

Dec 14, 2024

Organization subpart

No

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

Authorized official

Name

Yangchen GethoktsangNPI 1649888702

Title

Owner

Phone

(617) 299-0928

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

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

• Yangchen Tenzin Gethoktsang, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Devens, MA
  • NPI 1649888702
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1609683572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WEBSTER ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484421",
            "telephone_number": "617-299-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 MAIN ST STE 202B",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484095",
            "telephone_number": "617-299-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY MIND PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-14",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "GETHOKTSANG",
        "authorized_official_first_name": "YANGCHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-299-0928"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Chui, RN
• Ka PO Chung
• City of Malden
• City of Malden
• Jennifer Clark, LICSW
• Samantha Clift
• Colleen E Clougherty, LCSW
• CMW Corporation (Malden Chiropractic Offices)
• Gareth Coalson
• Coat in Service Integrated LLC

• Psychiatric/Mental Health Nurse Practitioner in Malden, MA
• Providers in Malden, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.