Mind & Body Treatment and Research Institute, PC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

A94223 Issued in CA

Legal business name

MIND & BODY TREATMENT AND RESEARCH INSTITUTE, PC

Practice address

5700 Division St
200
Riverside, CA 92506-3257

Phone

(951) 300-4905

NPI assigned

Aug 16, 2014

Last updated

Feb 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rajagopal Keerthy Sunder, M.D.NPI 1972572824

Title

Owner

Phone

(510) 685-2022

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajagopal Keerthy Sunder, M.D.

  • Psychiatry Physician
  • Villa Park, CA
  • NPI 1972572824
  Authorized official Same address or phone

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

{
    "created_epoch": "1408147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1740689694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 EL CERRITO PLZ",
            "address_2": "SUITE 266",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945304011",
            "telephone_number": "510-685-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 DIVISION ST",
            "address_2": "200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063257",
            "telephone_number": "951-300-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND & BODY TREATMENT AND RESEARCH INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-16",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "SUNDER",
        "authorized_official_first_name": "RAJAGOPAL",
        "authorized_official_middle_name": "KEERTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-685-2022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "A94223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101426267 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Min, DDS
• Kyung Min, PHARMD
• Mina N Mikhail MD Inc
• Annamae Minard, PA-C
• Art Mario Minas
• Mind Games Family Counseling & Therapy Inc
• Mindcare Solutions P.C. of California
• Mindful Breath Counseling (Mindful Breath Counseling, LLC)
• Marlon Minera, MD
• Melissa Minero

• Addiction Medicine (Psychiatry & Neurology) Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.