Mindwise Psychological Services, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MINDWISE PSYCHOLOGICAL SERVICES, INC.

Practice address

3645 Ruffin Rd Ste 300
San Diego, CA 92123-1845

Phone

(858) 333-2027

NPI assigned

May 31, 2021

Organization subpart

No

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

Authorized official

Name

Gohar GyurjyanNPI 1316982564

Title

Ceo

Phone

(858) 333-2027

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.

• Gohar Gyurjyan, PH.D.

  • Clinical Psychologist
  • Glendale, CA
  • NPI 1316982564
  NPD Authorized official

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622419200000",
    "number": "1801462999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 DEL MAR HEIGHTS RD # 1961",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302199",
            "telephone_number": "858-333-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 RUFFIN RD STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231845",
            "telephone_number": "858-333-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWISE PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A",
        "authorized_official_last_name": "GYURJYAN",
        "authorized_official_first_name": "GOHAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-333-2027"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Neuropsychology Professional Corporation
• Joshua Mindlin, IDC
• Mindset Charter Schools Inc.
• Mindtune LLC
• Mindwell Collective
• Mindwork Therapy, Professional Clinical Counselor
• Alan Robert Miner, D.O.
• Allison Patrice Miner, DPT, ATC
• Elizabeth Miner
• Robert Henry Miner, DDS

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; 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.