Head-Space Mental Health Corp

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

HEAD-SPACE MENTAL HEALTH CORP

Practice address

913 Fir St W
Madera, CA 93636-9044

Phone

(507) 884-0651

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Denay Kelly

Title

Ceo

Phone

(507) 884-0651

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Kelly Meinen, AGACNP-BC

  • Nurse Practitioner
  • Eau Claire, WI
  • NPI 1205257102
  NPD (past)

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1417737636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BOYD ST",
            "city": "PEPIN",
            "state": "WI",
            "postal_code": "547599706",
            "telephone_number": "507-884-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 FIR ST W",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936369044",
            "telephone_number": "507-884-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD-SPACE MENTAL HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DENAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-884-0651"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Hattangady, MD
• Michael Edward Hauser, MD
• Garrick Isami Hayashi, MD
• Courtney Hayes, LVN
• Michael Hazboun, M.D.
• Healthstat Wellness Bac Madera
• Healthy Living at Home - Fresno LLC
• Joe Heaton, CCP
• Whitney Heberle
• Hal Helbock, MD

• Nurse Practitioner in Madera, CA
• Providers in Madera, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.