Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THE MINDFUL CENTER FOR INDIVIDUAL COUPLE AND FAMILY THERAPY
Active
Organization
THE MINDFUL CENTER FOR INDIVIDUAL COUPLE AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY S YI PH.D. (DIRECTOR/PSYCHOLOGIST)
(510) 698-2467
Entity
Organization
Contact information
Practice address
4797 TELEGRAPH AVE, SUITE 203, OAKLAND, CA 94609-2007
(510) 698-2467
Mailing address
4797 TELEGRAPH AVE, SUITE 203, OAKLAND, CA 94609-2007
(510) 698-2467
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 24210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831324524
PERSONAL NPI #
CA
Enumeration date
07/20/2013
Last updated
07/20/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up