Mind & Body Garden, a Psychological Corporation

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

MIND & BODY GARDEN, A PSYCHOLOGICAL CORPORATION

Practice address

885 N San Antonio Rd Ste O
Los Altos, CA 94022-1341

Phone

(650) 434-2563

Fax

(833) 259-3486

NPI assigned

Feb 25, 2019

Organization subpart

No

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

Authorized official

Name

Yishan Xu, PHDNPI 1093231581

Title

Ceo/Director

Phone

(619) 933-2591

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 9

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

• Yishan Xu, LCP

  • Clinical Psychologist
  • Los Altos, CA
  • NPI 1093231581
  Medicare reassignment NPD (past) Authorized official
• Chiao-Ju Fang, PHD, OTR/L

  • Occupational Therapist
  • Cupertino, CA
  • NPI 1225451271
  NPD (past)
• Keruo Guo

  • Professional Counselor
  • Los Altos, CA
  • NPI 1508698259
  NPD (past)
• TSZ Ki Lam, LPCC, LMHC

  • Mental Health Counselor
  • Los Altos, CA
  • NPI 1538095799
  NPD (past)
• Jiexuan Li, LMHC

  • Mental Health Counselor
  • Los Altos, CA
  • NPI 1588329981
  NPD (past)
• Juliet Tran

  • Marriage & Family Therapist
  • Los Altos, CA
  • NPI 1376955369
  NPD (past)
• Canzi Wang, PHD

  • Psychologist
  • Arcadia, CA
  • NPI 1992053136
  NPD (past)
• Jing Xu

  • Clinical Psychologist
  • San Francisco, CA
  • NPI 1326762691
  NPD (past)
• Fei Yi, PHD

  • Psychologist
  • Los Altos, CA
  • NPI 1992357743
  NPD (past)

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1992262091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 N SAN ANTONIO RD STE O",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221341",
            "telephone_number": "650-434-2563",
            "fax_number": "833-259-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 N SAN ANTONIO RD STE O",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221341",
            "telephone_number": "650-434-2563",
            "fax_number": "833-259-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND & BODY GARDEN, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "YISHAN",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "619-933-2591",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Meyer
• Hal Lynne Micali, LMFT
• Payvand Milani
• Maria Estefania Millan
• Robert Christopher Miller, PH.D.
• Mindful Child & Family Therapy, Inc
• Harry Mittelman, MD
• Patricia Ann Mittelstadt, PHD ABPDN
• Curtis Ken Miyahara, D.M.D.
• Lauren Mock

• Group Psychotherapy Psychologist in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Group Psychotherapy Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.