Organization Active NPI

Aura Integrative Psychiatry and TMS Professional Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1023720083
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AURA INTEGRATIVE PSYCHIATRY AND TMS PROFESSIONAL NURSING CORPORATION
Practice address
2025 Forest Ave Ste 8
San Jose, CA 95128-4806
Phone
(408) 539-1083
NPI assigned
Dec 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Azmeena HashemNPI 1134457112
Title
Owner
Phone
(408) 539-1083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2025 Forest Ave Ste 8
San Jose, CA 95128-4806

Mailing address

2025 Forest Ave Ste 8
San Jose, CA 95128-4806
Phone (408) 539-1083

Other practice location 1

5776 Stoneridge Mall Rd Ste 280
Pleasanton, CA 94588-4522
Phone (408) 539-1083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230404001401 CA Part B Supplier - Clinic/Group Practice 4880069954 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA; Pleasanton, CA

National Provider Directory

National Provider Directory

Locations

5776 Stoneridge Mall Rd
Ste 280
Pleasanton, CA 94588
Phone (248) 417-0075

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1023720083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 FOREST AVE STE 8",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284806",
            "telephone_number": "408-539-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 FOREST AVE STE 8",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284806",
            "telephone_number": "408-539-1083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5776 Stoneridge Mall Rd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945884522",
            "country_code": "US",
            "telephone_number": "408-539-1083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AURA INTEGRATIVE PSYCHIATRY AND TMS PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "HASHEM",
        "authorized_official_first_name": "AZMEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-539-1083"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.