JSP Corporation Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JSP CORPORATION INC

Doing business as

MindWell Mental Health Services

Practice address

36330 Hidden Springs Rd Ste E
Wildomar, CA 92595-5804

Phone

(442) 224-3320

NPI assigned

Apr 24, 2024

Last updated

May 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacquelyn HamedNPI 1578260758

Title

Ceo

Phone

(442) 224-3320

Specialties & licenses 2

Addresses

Other names 1

• MindWell Mental Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Jacquelyn Hamed

  • Psychiatric/Mental Health Nurse Practitioner
  • Wildomar, CA
  • NPI 1578260758
  Medicare reassignment NPD Authorized official
• Aimy Jakini, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Corona, CA
  • NPI 1699598052
  NPD (past)

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1629824354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36330 HIDDEN SPRINGS RD STE E",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925955804",
            "telephone_number": "442-224-3320",
            "fax_number": "855-413-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36330 HIDDEN SPRINGS RD STE E",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925955804",
            "telephone_number": "442-224-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSP CORPORATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "HAMED",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "442-224-3320"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MindWell Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MindWell Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnson's Orthopedic
• Autumn Dawn Jones
• Destinee Jones
• Ramiyah Jones
• Joseph Nevarez MD CWS Inc (Joseph Nevarez MD CWS)
• Ernest V Juarez, PAC
• Mark Alan Jury, OD
• James Kabellis II, MD
• Azzrinna Kadri
• Kaiser Foundation Health Plan Inc

• Psychiatry Physician in Wildomar, CA
• Providers in Wildomar, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.