CHILD MIND MEDICAL PRACTICE PC NPI 1134766041

NPI Information

  • NPI: 1134766041
  • Provider Name: CHILD MIND MEDICAL PRACTICE, PC
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 2000 ALAMEDA DE LAS PULGAS STE 242
    SAN MATEO, CA
    ZIP 94403
  • Phone: (650) 931-6501

Map and Directions

Get Directions

NPI Details

CHILD MIND MEDICAL PRACTICE, PC is an adolescent and children mental health clinic center in San Mateo, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CHILD MIND MEDICAL PRACTICE, PC NPI is 1134766041. The provider is registered as an organization entity type.

The provider's business location address is:

2000 ALAMEDA DE LAS PULGAS STE 242
SAN MATEO, CA
ZIP 94403-271
Phone: (650) 931-6501

The provider's authorized official is Terence Byrnes .
The authorized official title is Operations Manager and has the following contact phone number (650) 931-6501.

The enumeration date for this NPI number is 12/10/2019 and was last updated on 12/10/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI