Ramandeep Kaur Behniwal
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Moorpark, CA
NPI 1508527458 · NPPES record last updated Jan 3, 2022
Key facts
- NPI
- 1508527458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 95019599 (CA)
- Practice address
- 893 Patriot Dr Ste a
Moorpark, CA 93021-3357 - Phone
- (805) 214-1312
- NPI assigned
- Jan 3, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220223000198 | CA | Practitioner - Nurse Practitioner | 5496149189 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95019599 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Heritage Medical Group Inc | Current |
Accepting new patients | |
| Healthy Mind Psychiatry Inc | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95019599 | CA | Yes |
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
Other providers in Moorpark, CA
- Karen Aleece Barbi
- Arthur Xavier Barragan Jr.
- Jaime Javier Barrera
- Robin E Beagle
- Jonathan Bechtel
- Deanne Kathleen Larson Bender
- Francesca Bennett
- Stanley M. Bern
- Michele Berry
- Biomotion Physical Therapy PC
All providers in Moorpark, CA · Psychiatric/Mental Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.