Healing Pathways Medical Clinic, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

HEALING PATHWAYS MEDICAL CLINIC, INC.

Practice address

3451 Burrows Avenue
West Sacramento, CA 95691

Phone

(916) 376-8416

Fax

(916) 376-0759

NPI assigned

Dec 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul Clifford Copeland, DONPI 1477667152

Title

Ceo/Owner

Phone

(916) 376-8416

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dr. Paul Copeland Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Paul Clifford Copeland, D.O.

  • Child & Adolescent Psychiatry Physician
  • West Sacramento, CA
  • NPI 1477667152

  CA, Child & Adolescent Psychiatry

  Medicare reassignment NPD Authorized official
• Sharon Kay Grable, MFT

  • Marriage & Family Therapist
  • West Sacramento, CA
  • NPI 1871818765
  NPD (past)
• Brian Mackin, M.D.

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1144294349

  Psychiatry

  NPD (past)
• Kimberly Ann Wells, FNP

  • Family Nurse Practitioner
  • Gorham, ME
  • NPI 1902484587
  NPD (past)

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

{
    "created_epoch": "1198281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1265616544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 981612",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "95798",
            "telephone_number": "916-376-8416",
            "fax_number": "916-376-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 BURROWS AVENUE",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "95691",
            "telephone_number": "916-376-8416",
            "fax_number": "916-376-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PATHWAYS MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-22",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CLIFFORD",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "916-376-8416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "20A5642",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1477667152",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Paul Copeland",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ladan P. Hashemi, NP
• Kristen Hatten, PHD
• Amber Hawkins
• Elizabeth Haywood
• Shaughn Mitchell Head, MD
• Alexander Glenn Henderson
• Ruth L Henderson
• Michael Henning
• Rhonda Hensley
• Francisca Heredia

• All providers in West Sacramento, CA
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.