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MINDFUL PSYCHOTHERAPY INC. NPI 1073841276


NPI Information

NPI: 1073841276
Provider Name: MINDFUL PSYCHOTHERAPY, INC.
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
5230 CARROLL CANYON RD STE 316
SAN DIEGO, CA
ZIP 92121
Phone: (858) 353-3345
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MINDFUL PSYCHOTHERAPY, INC. is a clinical psychologist in San Diego, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MINDFUL PSYCHOTHERAPY, INC. NPI is 1073841276. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5230 CARROLL CANYON RD STE 316
SAN DIEGO, CA
ZIP 92121-781
Phone: (858) 353-3345
Fax: (858) 800-4803

The provider's authorized official is Archana Jajodia .
The authorized official title is Director and has the following contact phone number (858) 353-3345.

The enumeration date for this NPI number is 11/27/2009 and was last updated on 10/22/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TB0200XPsychologistCognitive & BehavioralPSY 23133No
2103TA0400XPsychologistAddiction (Substance Use Disorder)PSY 23133CALIFORNIANo
3103TA0700XPsychologistAdult Development & AgingPSY 23133CALIFORNIANo
4103TC0700XPsychologistClinicalPSY 23133CALIFORNIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.