Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind and Body Psychological Services, PC

Organization Clinical Psychologist · NPI 1134799786

Mind and Body Psychological Services, PC provides Clinical Psychologist services in San Francisco, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2409 19th Ave Ste B4
San Francisco, CA 94116-2495
Phone: (415) 710-4879
Fax: (415) 564-3167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1134799786
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tatiana Doubnova — Psychologist · (415) 710-4879
NPI enumeratedJune 27, 2021
Last updated in NPPESJune 27, 2021
Certification dateAugust 7, 2020
Mailing address2409 19th Ave Ste B4, San Francisco, CA 94116-2495

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