Medens Health

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MEDENS HEALTH

Practice address

50 California St Ste 1500
San Francisco, CA 94111-4612

Phone

(415) 854-5400

Fax

(844) 654-2900

NPI assigned

Jun 9, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Meghan Horton

Title

Chief of Staff

Phone

(415) 854-5400

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ, CA, MI3 enrollments

Enrollment records 3

Locations

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chiconia Anderson, AMFT

  • Marriage & Family Therapist
  • Simi Valley, CA
  • NPI 1467947903
  Medicare reassignment Care Compare group NPD
• Mindia Gabichvadze, PSYD

  • Clinical Neuropsychologist
  • Beverly Hills, CA
  • NPI 1063747137
  Medicare reassignment Care Compare group NPD
• Mariam Harris, LMFT

  • Marriage & Family Therapist
  • Rancho Santa Margarita, CA
  • NPI 1023439031
  Medicare reassignment Care Compare group NPD
• Alicia Hefley, PSYD

  • Psychologist
  • Placentia, CA
  • NPI 1417663071
  Medicare reassignment Care Compare group NPD
• Fatemeh Jafari

  • Marriage & Family Therapist
  • Beverly Hills, CA
  • NPI 1740023431
  Medicare reassignment Care Compare group NPD
• Kristopher Curtis Kern

  • Clinical Psychologist
  • Concord, CA
  • NPI 1417330267
  Medicare reassignment Care Compare group NPD
• Dianne Kong

  • Clinical Neuropsychologist
  • Beverly Hills, CA
  • NPI 1801568258
  Medicare reassignment Care Compare group NPD
• Ajah Love

  • Marriage & Family Therapist
  • Long Beach, CA
  • NPI 1740751338
  Medicare reassignment Care Compare group NPD
• Brendan Joseph Nierenberg, LMFT

  • Marriage & Family Therapist
  • Beverly Hills, CA
  • NPI 1295358364
  Medicare reassignment Care Compare group NPD
• Esther Olajide

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1104392810
  Medicare reassignment Care Compare group NPD
• Philip Stephen Pines, PSYD

  • Clinical Psychologist
  • Santa Ana, CA
  • NPI 1184930919
  Medicare reassignment Care Compare group NPD
• Jacqueline Shlain, LMFT

  • Marriage & Family Therapist
  • Beverly Hills, CA
  • NPI 1952865586
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1003431784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 N ST STE 5619",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165712",
            "telephone_number": "833-953-7400",
            "fax_number": "844-654-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CALIFORNIA ST STE 1500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941114612",
            "telephone_number": "415-854-5400",
            "fax_number": "844-654-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 E Tahquitz Canyon Way",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922626784",
            "country_code": "US",
            "telephone_number": "760-537-5400",
            "fax_number": "844-654-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1633 E 4th St Ste 156",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927015170",
            "country_code": "US",
            "telephone_number": "949-731-5400",
            "fax_number": "844-654-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5550 Wild Rose Ln Ste 400",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502665351",
            "country_code": "US",
            "telephone_number": "833-624-5400",
            "fax_number": "844-654-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6787 W Tropicana Ave Ste 241",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891034759",
            "country_code": "US",
            "telephone_number": "702-659-5400",
            "fax_number": "844-654-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9713 Santa Monica Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104236",
            "country_code": "US",
            "telephone_number": "310-564-5400",
            "fax_number": "844-654-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 W Broadway Ste 400",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921013554",
            "country_code": "US",
            "telephone_number": "619-859-5400",
            "fax_number": "844-654-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDENS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "415-854-5400"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250011890",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003431784",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meda Group LLC
• Mira Medan, RN
• Medcare Supply Inc
• Judit Medel
• Gabrielle Medellin
• Ainura Medeubayeva
• Medi-Lynx Cardiac Monitoring, LLC
• Diana Medina Galvan, MD
• Natalia Medina Lemus
• Marylou Santos Medina-Bolus, LVN

• Clinical Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.