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

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: July 19, 2026.

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

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

What is SOUTH DRIVE MEDICAL CLINIC's NPI number?

The NPI number assigned to this healthcare provider is 1043248560, enumerated as an "organization" on June 30, 2006.

Where is the provider located?

The provider is located at 515 S DRIVE #15 MOUNTAIN VIEW, CA 94040 and the phone number is (650) 961-9430.

What is the provider's specialty?

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.