Organization Active NPI

Mind Body Medical Services, P.C. of California

  • Adult Medicine Physician
  • Kensington, CA
National Provider Identifier
1871350488
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
MIND BODY MEDICAL SERVICES, P.C. OF CALIFORNIA
Practice address
72 Kingston Rd
Kensington, CA 94707-1334
Phone
(888) 729-1971
NPI assigned
Feb 29, 2024
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Laura Hollander, MPH
Title
Care Operations Manager
Phone
(888) 729-1971

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

72 Kingston Rd
Kensington, CA 94707-1334

Mailing address

72 Kingston Rd
Kensington, CA 94707-1334
Phone (888) 729-1971

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1871350488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 KINGSTON RD",
            "city": "KENSINGTON",
            "state": "CA",
            "postal_code": "947071334",
            "telephone_number": "888-729-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 KINGSTON RD",
            "city": "KENSINGTON",
            "state": "CA",
            "postal_code": "947071334",
            "telephone_number": "888-729-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY MEDICAL SERVICES, P.C. OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "HOLLANDER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CARE OPERATIONS MANAGER",
        "authorized_official_telephone_number": "888-729-1971",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.