Headspace Medical Group (KS) LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

HEADSPACE MEDICAL GROUP (KS) LLC

Practice address

2417 Michigan Ave
Santa Monica, CA 90404-4009

Phone

(855) 446-4374

NPI assigned

Oct 29, 2025

Last updated

Oct 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Irina Shtemler

Title

Network Operations Manager

Phone

(855) 446-4374

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1194693200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 MICHIGAN AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044009",
            "telephone_number": "855-446-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 MICHIGAN AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044009",
            "telephone_number": "855-446-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADSPACE MEDICAL GROUP (KS) LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "SHTEMLER",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "NETWORK OPERATIONS MANAGER",
        "authorized_official_telephone_number": "855-446-4374"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Hayes, N.P.
• Malka Molly Hayman, AGACNP-BC
• Tao He, M.D., PH.D.
• Head and Neck Imaging Associates
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• Healthcheck Assessment Center
• Healthstat Wellness County SB Headquarters

• Adult Mental Health Clinic/Center in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.