| Mind-body Care, Inc. | |
|
2672 Bayshore Pkwy Ste 1045 Mountain View CA 94043-1015 | |
| (650) 862-7320 | |
| Not Available |
| Full Name | Mind-body Care, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2672 Bayshore Pkwy Ste 1045, Mountain View, California |
| Authorized Official Name and Position | Shilpa Kapoor (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5086273206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind-body Care, Inc. 6754 Bernal Ave # 740-285 Pleasanton CA 94566-1232 Ph: (650) 862-7320 | Mind-body Care, Inc. 2672 Bayshore Pkwy Ste 1045 Mountain View CA 94043-1015 Ph: (650) 862-7320 |
| NPI Number | 1093115347 |
|---|---|
| Provider Enumeration Date | 08/23/2014 |
| Last Update Date | 08/11/2023 |
| Certification Date | 08/11/2023 |
| Medicare PECOS PAC ID | 7517279664 |
|---|---|
| Medicare Enrollment ID | O20150702001687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093115347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY26333 (California) | Primary |
| Provider Name | Shilpa Kapoor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730313784 PECOS PAC ID: 2769606409 Enrollment ID: I20140619000204 |
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