HEAL PSYCHIATRIC SERVICES, INC (NPI# 1174987119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174987119 |
| Entity Type | Organization |
| Organization Name | HEAL PSYCHIATRIC SERVICES, INC |
| Practice Address |
1710 S Amphlett Blvd Suite 301 San Mateo CA 94402-2703 |
| Practice Telephone | 6502734082 |
| Practice Fax Number | 6502757559 |
| Mailing Telephone | 6502734082 |
| Mailing Fax Number | 6502757559 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-06-04 |
| Authorized Official Name | DR. FARZANA AMIN (C.E.O.) |
| Authorized Official Telephone | 6502734082 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A95033 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A95033 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1710 S AMPHLETT BLVD SUITE 301 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669525911 | Farzana Amin | Psychiatry & Neurology | 1710 S Amphlett Blvd, Suite 301, San Mateo, CA 94402-2703 | 2007-01-19 |
| 1497380901 | Charles Phinehas Schwartz IIi | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2020-03-04 |
| 1144860586 | Camille Evelyn Kellstedt | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2020-01-14 |
| 1417599614 | Pragna Tantravahi | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402 | 2019-10-09 |
| 1942859020 | Peter M Kitsamba | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-09-10 |
| 1053960138 | Ben Chettipally | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-09-10 |
| 1750938775 | Sabrina Kelly Gonzales | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-08-23 |
| 1578123477 | Matthew Wong | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-06-13 |
| 1619536679 | Amanda Rodriguez | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-06-12 |
| 1083271829 | Elydia Gonzalez | Behavioral Analyst | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265593602 | Jason Takeuchi | Psychiatry & Neurology | 215 N San Mateo Dr, Suite 2, San Mateo, CA 94401-2622 | 2006-12-12 |
| 1154571123 | Tamar Meidav | Psychiatry & Neurology | 1950 Alameda De Las Pulgas, San Mateo, CA 94403-1222 | 2008-09-25 |
| 1245258219 | Benjamin G Griggs IIi | Psychiatry & Neurology | 327 N San Mateo Dr, San Mateo, CA 94401-2543 | 2006-07-18 |
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| 1003455460 | Ranvinder Kaur Rai Md | Psychiatry & Neurology | 39676 Mission Blvd, Fremont, CA 94539-3000 | 2020-01-03 |
| 1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
| 1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.