Individual provider Active NPI

Jeremy Armien Handy, M.D.

  • Psychiatry Physician
  • Rancho Mirage, CA
National Provider Identifier
1437371671
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A125259 Issued in CA
Practice address
42525 Rancho Mirage LN
Rancho Mirage, CA 92270-4312
Phone
(760) 776-6543
Fax
(760) 776-6546
NPI assigned
May 3, 2007
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 11691 ND
Psychiatry Physician 2084P0800X 6691 KS
Psychiatry Physician 2084P0800X A125259 CA Primary

Addresses

Primary practice location

42525 Rancho Mirage LN
Rancho Mirage, CA 92270-4312

Mailing address

42525 Rancho Mirage LN
Rancho Mirage, CA 92270-4312
Phone (760) 776-6543

Other practice location 1

1000 South Columbia Road
Grand Forks, ND 58206-6002
Phone (701) 780-5000

Other practice location 2

47915 Oasis St
Indio, CA 92201-6950
Phone (760) 863-8600

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Pointhappypsychiatrymd@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151211000055 CA Practitioner - Psychiatry 2769665389 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125259CAMDClinical Social Worker
6691KSMDClinical Social Worker
A125259CAMDPsychiatry Physician
11691NDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mellow Medical Inc a Professional Corporation Single Specialty CurrentSince Nov 16, 2015 Accepting new patients
Hlca, Inc. Psychiatry CurrentSince Sep 8, 2019 Accepting new patients

Locations

8235 Santa Monica Blvd
Ste 300
West Hollywood, CA 90046
Phone (310) 892-4284

8235 Santa Monica Blvd
Ste 302
West Hollywood, CA 90046
Phone (310) 892-4284

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1437371671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42525 RANCHO MIRAGE LN",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704312",
            "telephone_number": "760-776-6543",
            "fax_number": "760-776-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42525 RANCHO MIRAGE LN",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704312",
            "telephone_number": "760-776-6543",
            "fax_number": "760-776-6546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 South Columbia Road",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582066002",
            "country_code": "US",
            "telephone_number": "701-780-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47915 Oasis St",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922016950",
            "country_code": "US",
            "telephone_number": "760-863-8600",
            "fax_number": "760-863-8631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANDY",
        "first_name": "JEREMY",
        "middle_name": "ARMIEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ND",
            "license": "11691",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "6691",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A125259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pointhappypsychiatrymd@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Private Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "42525 Rancho Mirage Ln",
            "city": "Rancho Mirage",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922704312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.