Mindclub Behavioral Health California PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDCLUB BEHAVIORAL HEALTH CALIFORNIA PC

Practice address

1401 21St St Ste R
Sacramento, CA 95811-5226

Phone

(615) 390-2865

NPI assigned

Dec 18, 2025

Organization subpart

No

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

Authorized official

Name

Kathy Richardson

Title

VP

Phone

(615) 390-2865

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1760347090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MISSION CT STE 201A",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676441",
            "telephone_number": "615-390-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 21ST ST STE R",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115226",
            "telephone_number": "615-390-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDCLUB BEHAVIORAL HEALTH CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-390-2865"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midori Minabe, D.D.S.
• Lusine Minasyan
• Morgan Rose Minch, PA-S1
• Mind and Match California, P.C.
• Mind Matters Center, Licensed Clinical Social Worker, PC
• Mark F Minder, LCSW
• Mindful Living Therapy, a Licensed Clinical Social Worker Corporation
• Mindful Narrative Inc
• Mindful Values
• Mindsets Counseling and Coaching Center

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.