Organization Active NPI

Healing Mind Wellness and Psychology Center Inc

  • Mental Health Counselor
  • Encino, CA
National Provider Identifier
1306590146
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEALING MIND WELLNESS AND PSYCHOLOGY CENTER INC
Practice address
16661 Ventura Blvd Ste 211
Encino, CA 91436-1938
Phone
(818) 205-1200
Fax
(818) 205-1254
NPI assigned
Feb 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Mehrnoosh Rezapour, MD
Title
Owner
Phone
(818) 205-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

16661 Ventura Blvd Ste 211
Encino, CA 91436-1938

Mailing address

24040 Killion St
Woodland Hills, CA 91367-5726
Phone (818) 205-1200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1306590146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24040 KILLION ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675726",
            "telephone_number": "818-205-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 211",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361938",
            "telephone_number": "818-205-1200",
            "fax_number": "818-205-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MIND WELLNESS AND PSYCHOLOGY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "REZAPOUR",
        "authorized_official_first_name": "MEHRNOOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-205-1200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

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