Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Body Mind Spirit Iop Inc

Organization Psychologist · NPI 1255733853

Body Mind Spirit Iop Inc provides Psychologist services in San Clemente, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

665 Camino De Los Mares Ste 104
San Clemente, CA 92673
Phone: (949) 248-7377
Fax: (866) 805-2796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY9840 (CA)

Record details

NPI number1255733853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Martin — Ceo · (949) 247-7377
NPI enumeratedSeptember 25, 2014
Last updated in NPPESAugust 24, 2018
Mailing address665 Camino De Los Mares Ste 104, San Clemente, CA 92673-2840

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