Organization Active NPI

Healing Mind Psychiatric Nursing PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Elk Grove, CA
National Provider Identifier
1679310759
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HEALING MIND PSYCHIATRIC NURSING PC
Practice address
9370 Studio Court Dr.
Suite 100
Elk Grove, CA 95758
Phone
(510) 754-1485
NPI assigned
Jul 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Catherine Mane BulaongNPI 1699288167
Title
Owner
Phone
(510) 754-1485

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

9370 Studio Court Dr.
Suite 100
Elk Grove, CA 95758

Mailing address

9245 Laguna Springs Dr Ste 200
Elk Grove, CA 95758-7991
Phone (510) 754-1485

National Provider Directory

National Provider Directory

Locations

9370 Studio Ct
Ste 100
Elk Grove, CA 95758
Phone (510) 754-1485

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1679310759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 LAGUNA SPRINGS DR STE 200",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587991",
            "telephone_number": "510-754-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 STUDIO COURT DR.",
            "address_2": "SUITE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95758",
            "telephone_number": "510-754-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MIND PSYCHIATRIC NURSING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "BULAONG",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-754-1485"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.