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

South Drive Medical Clinic

Organization Clinical Psychologist · NPI 1043248560

South Drive Medical Clinic provides Clinical Psychologist services in Mountain View, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

515 S Dr #15
Mountain View, CA 94040-4209
Phone: (650) 961-9430
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY4724 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence G33788 (CA)

Record details

NPI number1043248560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Peters — President · (650) 961-9430
NPI enumeratedJune 30, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address515 S Drive, 15, Mountain View, CA 94040-4209

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