Individual provider Active NPI

Ramandeep Kaur Behniwal

  • Psychiatric/Mental Health Nurse Practitioner
  • Moorpark, CA
National Provider Identifier
1508527458
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95019599 Issued in CA
Practice address
893 Patriot Dr Ste a
Moorpark, CA 93021-3357
Phone
(805) 214-1312
NPI assigned
Jan 3, 2022
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95019599 CA Primary

Addresses

Primary practice location

893 Patriot Dr Ste a
Moorpark, CA 93021-3357

Mailing address

893 Patriot Dr Ste a
Moorpark, CA 93021-3357
Phone (805) 214-1312

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220223000198 CA Practitioner - Nurse Practitioner 5496149189 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95019599CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Psychiatry Inc CurrentSince Dec 1, 2023 Accepting new patients
Pacific Heritage Medical Group Inc CurrentSince Feb 1, 2022 Accepting new patients

Locations

7150 Tampa Ave
Reseda, CA 91335
Phone (818) 757-4447

27201 Tourney Rd
Ste 204
Valencia, CA 91355
Phone (661) 481-0022

3625 E Thousand Oaks Blvd
Ste 232
Westlake Village, CA 91362
Phone (818) 518-9715

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": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1508527458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 PATRIOT DR STE A",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213357",
            "telephone_number": "805-214-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 PATRIOT DR STE A",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213357",
            "telephone_number": "805-214-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHNIWAL",
        "first_name": "RAMANDEEP",
        "middle_name": "KAUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorpark, CA

Sources for this page

Verify at the official NPI Registry.