Organization Active NPI

Healing Path Psychological Services

  • Clinical Psychologist
  • Cleburne, TX
National Provider Identifier
1407470974
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HEALING PATH PSYCHOLOGICAL SERVICES
Practice address
904 N Main St Ste C
Cleburne, TX 76033-3803
Phone
(939) 645-1555
Fax
(817) 558-7566
NPI assigned
Jun 1, 2020
Last updated
Sep 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

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

Authorized official

Name
Keila Santos, PSYD
Title
Owner
Phone
(939) 645-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

904 N Main St Ste C
Cleburne, TX 76033-3803

Mailing address

PO Box 241
Keene, TX 76059-0241
Phone (939) 645-1555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200720000695 TX Part B Supplier - Clinic/Group Practice 0941624399 Receives reassigned benefits from 1 practitioner
Practice locations: Cleburne, TX

National Provider Directory

National Provider Directory

Locations

1011 Granbury St
Cleburne, TX 76033
Phone (817) 645-3328

115 S Main St
Ste 202
Cleburne, TX 76033
Phone (939) 645-1555

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758326400000",
    "number": "1407470974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241",
            "city": "KEENE",
            "state": "TX",
            "postal_code": "760590241",
            "telephone_number": "939-645-1555",
            "fax_number": "817-755-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 N MAIN ST STE C",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760333803",
            "telephone_number": "939-645-1555",
            "fax_number": "817-558-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PATH PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "KEILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "939-645-1555",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; 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.