SOUTH DRIVE MEDICAL CLINIC
NPI 1043248560
Psychologist - Clinical in Mountain View, CA
- Organization
- Psychologist
- Clinical
About SOUTH DRIVE MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for South Drive Medical Clinic, a provider established in Mountain View, California operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1043248560 assigned on June 2006. The practitioner's primary taxonomy code is 103TC0700X with license number PSY4724 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. South Drive Medical Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Kenneth S Peters Md (President)
- NPI
- 1043248560 Verify this NPI
- Provider Name
- SOUTH DRIVE MEDICAL CLINIC
- Entity Type
- Organization
- Location Address
- 515 S DRIVE #15 MOUNTAIN VIEW, CA 94040
- Location Phone
- (650) 961-9430
- Mailing Address
- 515 S DRIVE #15 MOUNTAIN VIEW, CA 94040
- Mailing Phone
- (650) 961-9430
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-30-2006
- Last Update Date
- 09-11-2025
- Code Navigator
A clinical psychologist like South Drive Medical Clinic assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PSY4724
- License State
- CA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | G33788 (CA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043248560, enumerated as an "organization" on June 30, 2006.
The provider is located at 515 S DRIVE #15 MOUNTAIN VIEW, CA 94040 and the phone number is (650) 961-9430.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
