Active NPI
Heal Medical Weight Loss Clinic Corp.
- Child & Adolescent Psychiatry Physician
- Oakland, CA
National Provider Identifier
1417685181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- HEAL MEDICAL WEIGHT LOSS CLINIC CORP.
- Practice address
- 100 Grand Ave #2306
Oakland, CA 94612 - Phone
- (650) 273-4082
- Fax
- (650) 275-7559
- NPI assigned
- Aug 10, 2022
- Organization subpart
- Yes
- Parent organization
- HEAL PSYCHIATRIC SERVICES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Farzana Amin, M.D.
- Title
- Ceo/Owner
- Phone
- (314) 629-7696
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Psychiatry & Neurology) Physician | 2084B0002X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | Primary |
Addresses
Primary practice location
100 Grand Ave #2306
Oakland, CA 94612
Mailing address
2261 Market St Ste 86909
San Francisco, CA 94114-1612
Phone (650) 273-4082
Other names 1
- HEAL PSYCHIATRIC SERVICES, INC
National Provider Directory
National Provider Directory- Part of
- Heal Psychiatric Serv Inc
Locations
1710 S Amphlett Blvd
Ste 250
San Mateo, CA 94402
Phone (650) 273-4082
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Child & Adolescent Psychiatry Physician
- San Mateo, CA
- NPI 1174987119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761177600000",
"number": "1417685181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2261 MARKET ST STE 86909",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141612",
"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": "100 GRAND AVE #2306",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94612",
"telephone_number": "650-273-4082",
"fax_number": "650-275-7559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAL MEDICAL WEIGHT LOSS CLINIC CORP.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEAL PSYCHIATRIC SERVICES, INC",
"enumeration_date": "2022-08-10",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A",
"authorized_official_last_name": "AMIN",
"authorized_official_first_name": "FARZANA",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "314-629-7696",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084B0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HEAL PSYCHIATRIC SERVICES, INC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HEAL PSYCHIATRIC SERVICES, INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.