Organization Active NPI

Heal Medical Weight Loss Clinic Corp.

  • Child & Adolescent Psychiatry Physician
  • Oakland, CA
National Provider Identifier
1417685181
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
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, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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)CodeLicenseStatePrimary
Obesity Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0002X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

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.

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.

Verify at the official NPI Registry.