ADVANCED MINDSET PSYCHOLOGICAL SERVICES NPI 1063903425

NPI Information

  • NPI: 1063903425
  • Provider Name: ADVANCED MINDSET PSYCHOLOGICAL SERVICES
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • CLIA Number: 05D1029386
  • Address: 541 S GLENDORA AVE
    GLENDORA, CA
    ZIP 91741
  • Phone: (314) 307-1307

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NPI Details

ADVANCED MINDSET PSYCHOLOGICAL SERVICES is a mental health counselor in Glendora, CA. ADVANCED MINDSET PSYCHOLOGICAL SERVICES NPI is 1063903425. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

541 S GLENDORA AVE
GLENDORA, CA
ZIP 91741-209
Phone: (314) 307-1307

The provider's authorized official is Michael Uthoff .
The authorized official title is Vice President and has the following contact phone number (314) 307-1307.

The CLIA number assigned to this NPI record is 05D1029386 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/22/2018 and was last updated on 5/22/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health27619CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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