NPIMap

Organization Active NPI

Mind by Design

  • School Psychologist
  • Campbell, CA
National Provider Identifier
1922782960
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Legal business name
MIND BY DESIGN
Practice address
51 E Campbell Ave Ste 109
Campbell, CA 95008-2047
Phone
(669) 282-2510
NPI assigned
Jun 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Jana Parker, LEPNPI 1659778009
Title
President/ Lep
Phone
(669) 282-2510

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X Primary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

51 E Campbell Ave Ste 109
Campbell, CA 95008-2047

Mailing address

51 E Campbell Ave Ste 109
Campbell, CA 95008-2047
Phone (669) 282-2510

National Provider Directory

National Provider Directory

Locations

51 E Campbell Ave
Ste 109
Campbell, CA 95008
Phone (669) 282-2510

Practitioners & affiliated clinicians

Practitioners 2

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": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1922782960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E CAMPBELL AVE STE 109",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082047",
            "telephone_number": "669-282-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E CAMPBELL AVE STE 109",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082047",
            "telephone_number": "669-282-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BY DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-11",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "PRESIDENT/ LEP",
        "authorized_official_telephone_number": "669-282-2510",
        "authorized_official_credential": "LEP"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.