Organization Active NPI

Dr. Katindo Mental Health Clinic Inc.

  • Psychiatry Physician
  • Santa Clarita, CA
National Provider Identifier
1598498073
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DR. KATINDO MENTAL HEALTH CLINIC INC.
Practice address
27125 Sierra Hwy Ste 325P
Santa Clarita, CA 91351-5432
Phone
(661) 360-7222
NPI assigned
Jul 2, 2022
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Nelson Katindo, M.D.NPI 1013440205
Title
President
Phone
(661) 360-7222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

27125 Sierra Hwy Ste 325P
Santa Clarita, CA 91351-5432

Mailing address

27125 Sierra Hwy Ste 325P
Santa Clarita, CA 91351-5432
Phone (661) 360-7222

Other names 1

  • DR KATINDO MENTAL HEALTH CLINIC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL katindonelson@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221114000977 CA Part B Supplier - Clinic/Group Practice 7416324975 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Clarita, CA

National Provider Directory

National Provider Directory

Locations

27125 Sierra Hwy
Ste 325P
Santa Clarita, CA 91351
Phone (661) 360-7222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1598498073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27125 SIERRA HWY STE 325P",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913515432",
            "telephone_number": "661-360-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27125 SIERRA HWY STE 325P",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913515432",
            "telephone_number": "661-360-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KATINDO MENTAL HEALTH CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-02",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "KATINDO",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-360-7222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "katindonelson@yahoo.com",
            "affiliation": "N",
            "address_1": "27125 Sierra Hwy Ste 325P",
            "city": "Santa Clarita",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913515432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DR KATINDO MENTAL HEALTH CLINIC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.