SOUTH DRIVE MEDICAL CLINIC
NPI 1043248560
Psychologist - Clinical in Mountain View, CA

Q: What is South Drive Medical Clinic's NPI number?

The NPI number for South Drive Medical Clinic is 1043248560. It was assigned to this organization in the NPPES registry on June 30, 2006.

Q: What is South Drive Medical Clinic's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 30, 2006

515 S DRIVE, #15, MOUNTAIN VIEW, CA 94040(650) 961-9430 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About South Drive Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH DRIVE MEDICAL CLINIC (NPI 1043248560) is a healthcare organization registered as a clinical in Mountain View, California and active in the NPI registry since June 2006. The organization lists Kenneth S Peters, President, as its authorized official.

NPPES Registry Identity

NPI1043248560

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSOUTH DRIVE MEDICAL CLINIC

Location Address515 S DRIVE, #15Mountain View, CA 94040-4209

Mailing Address515 S Drive, #15Mountain View, CA 94040-4209 · (650) 961-9430

Phone(650) 961-9430

Organization SubpartNo

Authorized OfficialKenneth S PetersPresident · (650) 961-9430

Enumeration DateJune 30, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1043248560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY4724

Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License G33788 (CA)

515 S DRIVE, Mountain View, CA 94040

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Drive Medical Clinic's NPI number?

The NPI number for South Drive Medical Clinic is 1043248560. It was assigned to this organization in the NPPES registry on June 30, 2006.

Where is South Drive Medical Clinic located?

South Drive Medical Clinic is located at 515 S Drive #15, Mountain View, CA 94040. The listed phone number is (650) 961-9430.

What is South Drive Medical Clinic's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for South Drive Medical Clinic was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.