Active NPI
Healing Mind Psychiatric Nursing PC
- Psychiatric/Mental Health Nurse Practitioner
- Elk Grove, CA
National Provider Identifier
1679310759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine Mane Bulaong
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryLocations
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.
-
- Nurse Practitioner
- Elk Grove, CA
- NPI 1699288167
Psychiatric/Mental Health
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.