Heal Psychiatric Services, Inc

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A95033 Issued in CA

Legal business name

HEAL PSYCHIATRIC SERVICES, INC

Practice address

1710 S Amphlett Blvd
Suite 301
San Mateo, CA 94402-2703

Phone

(650) 273-4082

Fax

(650) 275-7559

NPI assigned

Apr 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Farzana Amin, M.D.NPI 1669525911

Title

C.E.O.

Phone

(650) 273-4082

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Heal Medical Weight Loss Clinic Corp.

  • Child & Adolescent Psychiatry Physician
  • Oakland, CA
  • NPI 1417685181
  NPPES parent name

Practitioners 1

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

• Farzana Amin, M.D.

  • Obesity Medicine (Psychiatry & Neurology) Physician
  • San Francisco, CA
  • NPI 1669525911
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464998400000",
    "number": "1174987119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 S AMPHLETT BLVD",
            "address_2": "SUITE 301",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022703",
            "telephone_number": "650-273-4082",
            "fax_number": "650-275-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S AMPHLETT BLVD",
            "address_2": "SUITE 301",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022703",
            "telephone_number": "650-273-4082",
            "fax_number": "650-275-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL PSYCHIATRIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-06-04",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "FARZANA",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "650-273-4082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A95033",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A95033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul E Hazelrig Jr., M.D.
• Kelsea Hazlehurst
• Mark Cameron Head
• Marcia Dolores Headley
• Heal Physical Therapy Inc
• Health on Wheels PC
• Healthright 360
• Healthright 360
• Healthright 360
• Healthright 360

• Child & Adolescent Psychiatry Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2016; 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.