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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTH DRIVE MEDICAL CLINIC

Active Organization

SOUTH DRIVE MEDICAL CLINIC is a Clinical Psychologist organization located in MOUNTAIN VIEW, California. NPI 1043248560 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · MOUNTAIN VIEW, CA

Registration Details

NPI Number
1043248560
Provider Type
Organization
NPI Issued
Jun 30, 2006 (19.980125018422 yrs)
Last Updated
Sep 11, 2025
Licenses
G33788 (CA)
PSY4724 (CA)

Practice Information

Address
515 S DRIVE
#15
MOUNTAIN VIEW, CA, 940404209
Browse CA providers · Browse ZIP 94040
Phone
6509619430
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Organizations in MOUNTAIN VIEW, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.