Peaceful Mind, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

A87435 Issued in CA

Legal business name

PEACEFUL MIND, INC.

Practice address

3220 S Higuera St
Ste 205
San Luis Obispo, CA 93401-6987

Phone

(805) 541-5055

Fax

(805) 541-5075

NPI assigned

Mar 9, 2012

Organization subpart

No

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

Authorized official

Name

Sandi Lynne Andersen-Tarica

Title

Billing Manager

Phone

(805) 541-5055

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Abdellatif A. Aichouri, M.D., PH.D

  • Psychiatry Physician
  • San Luis Obispo, CA
  • NPI 1871523019
  NPD (past)

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1770858755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 S HIGUERA ST",
            "address_2": "STE 205",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016987",
            "telephone_number": "805-541-5055",
            "fax_number": "805-541-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 S HIGUERA ST",
            "address_2": "STE 205",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016987",
            "telephone_number": "805-541-5055",
            "fax_number": "805-541-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL MIND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN-TARICA",
        "authorized_official_first_name": "SANDI",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "805-541-5055"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "A87435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Paul
• Paula Defrisco, LCSW
• Linda Lois Pauli
• Mark Paulick, MD
• Avery John Paulson, RN, NP
• Peak Enterprise, LLC
• Peak Vision, a Medical Corporation
• Peakmind Mental Health & Performance Wellness, Professional Nursing Corporation
• Taryn Alexandra Pearl
• Michael Pearson

• Behavior Analyst in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.