Organization Active NPI

The Body and Mind Clinic, a Professional Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Pleasanton, CA
National Provider Identifier
1780449272
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
THE BODY AND MIND CLINIC, A PROFESSIONAL NURSING CORPORATION
Practice address
4695 Chabot Dr Ste 200
Pleasanton, CA 94588-2756
Phone
(925) 241-0227
NPI assigned
Feb 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Elizabeth Mole, DNP, PMHNPNPI 1376979237
Title
Ceo
Phone
(925) 241-0227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4695 Chabot Dr Ste 200
Pleasanton, CA 94588-2756

Mailing address

2150 Portola Ave Ste D1114
Livermore, CA 94551-1784

National Provider Directory

National Provider Directory

Locations

2150 Portola Ave
Ste D1114
Livermore, CA 94551

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1780449272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PORTOLA AVE STE D1114",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945511784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 CHABOT DR STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882756",
            "telephone_number": "925-241-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BODY AND MIND CLINIC, A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "MOLE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-241-0227",
        "authorized_official_credential": "DNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.