Radiant Mind Neuro And Psychology Clinic Inc — NPI 1629879721
Radiant Mind Neuro And Psychology Clinic Inc’s National Provider Identifier is 1629879721. NPPES classifies this as a Type 2 organization record and reports a practice location in San Diego, California. The primary taxonomy is Clinical Neuropsychologist.
Key facts
- NPI
- 1629879721
- Entity type
- Type 2 organization
- NPPES status
- Active in the August 10, 2026 snapshot
- Practice location
- 402 W BROADWAY STE 400
San Diego, California 92101 - Practice telephone
- (619) 595-3100
- Primary taxonomy
- Clinical Neuropsychologist
- Enumeration date
- March 24, 2025
- NPPES last update
- August 20, 2025
- Source
- CMS NPPES, NPPES Data Dissemination August 2026 V2
Questions answered by the NPPES record
What is the NPI for Radiant Mind Neuro And Psychology Clinic Inc?
The NPI listed for Radiant Mind Neuro And Psychology Clinic Inc in the NPPES snapshot is 1629879721. The number passes the NPI check-digit test and is recorded as active in that snapshot.
Is NPI 1629879721 an individual or organization record?
NPPES records NPI 1629879721 as an Entity Type 2 record, which CMS assigns to an organization health care provider.
Where is the reported practice location?
The primary practice location reported to NPPES is 402 W BROADWAY STE 400, San Diego, California 92101.
What taxonomy codes are listed for this NPI?
One taxonomy code is listed: Clinical Neuropsychologist (103G00000X), the primary taxonomy. Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.
When was the NPPES record last updated?
NPPES reports a last update date of August 20, 2025 and an enumeration date of March 24, 2025, as published in NPPES Data Dissemination August 2026 V2.
Source and data date
All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.
CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.
Directory pages
This profile is listed on the San Diego, California NPI directory and the California NPI directory.
Other published profiles in San Diego, CA
Up to ten other profiles this site publishes for San Diego, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 50 published profiles.
Corrections and removal requests
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This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.