NPIMap

Organization Active NPI

Shamynds Healing Center PC

  • Adult Mental Health Clinic/Center
  • Sacramento, CA
National Provider Identifier
1831854447
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SHAMYNDS HEALING CENTER PC
Practice address
2012 19TH St Ste 100
Sacramento, CA 95818-1668
Phone
(916) 538-6498
Fax
(916) 498-2457
NPI assigned
Nov 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Dr. Alya Zia Ahmad, MDNPI 1679579726
Title
Chief Operating Officer
Phone
(559) 623-7858

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2012 19TH St Ste 100
Sacramento, CA 95818-1668

Mailing address

2012 19TH St Ste 100
Sacramento, CA 95818-1668
Phone (916) 538-6498

Other names 1

  • ShaMynds LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aahmad@shamynds.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221012000974 CA Part B Supplier - Clinic/Group Practice 3577939826 Receives reassigned benefits from 2 practitioners
Practice locations: Sacramento, CA
O20240129002796 CA Part B Supplier - Clinic/Group Practice 6800249632 Receives reassigned benefits from 1 practitioner
Practice locations: El Dorado Hills, CA; Sacramento, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1831854447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 19TH ST STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958181668",
            "telephone_number": "916-538-6498",
            "fax_number": "916-898-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 19TH ST STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958181668",
            "telephone_number": "916-538-6498",
            "fax_number": "916-498-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMYNDS HEALING CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "ALYA",
        "authorized_official_middle_name": "ZIA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "559-623-7858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aahmad@shamynds.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2012 19th St Ste 100",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958181668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ShaMynds LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.