Headspace Medical Group (Ca), P.C.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

HEADSPACE MEDICAL GROUP (CA), P.C.

Practice address

595 Market St Ste 700
San Francisco, CA 94105-2812

Phone

(855) 446-4374

Fax

(415) 891-0725

NPI assigned

Dec 30, 2015

Organization subpart

No

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

Authorized official

Name

Irina Shtemler

Title

Network Operations Manager

Phone

(855) 446-4374

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Headspace Medical Group Ca PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Headspace Medical Group (Ca), P.C.

  • Adult Mental Health Clinic/Center
  • Santa Monica, CA
  • NPI 1629872221
  NPD tax ID

Locations

Practitioners 15

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

• Jonathan William Kole, MD

  • Child & Adolescent Psychiatry Physician
  • Santa Monica, CA
  • NPI 1801233945
  Medicare reassignment NPD
• Dana Udall, PHD

  • Counseling Psychologist
  • Santa Fe, NM
  • NPI 1346417490
  NPD
• Ashleigh Hall

  • Health Educator
  • San Francisco, CA
  • NPI 1437740560
  NPD (past)
• Thomas Hopkins, MD

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1669903308
  NPD (past)
• Beverly Ibeh

  • Clinical Psychologist
  • Santa Monica, CA
  • NPI 1700334158
  NPD (past)
• Jeanna Jacobsen, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1669012043
  NPD (past)
• Veronica Jenkins

  • Health Educator
  • San Francisco, CA
  • NPI 1114515574
  NPD (past)
• Jessie Alexandra McCurdy, LMFT132690

  • Marriage & Family Therapist
  • San Francisco, CA
  • NPI 1902467996
  NPD (past)
• Meghan Mitchell

  • Health Educator
  • San Francisco, CA
  • NPI 1992394274
  NPD (past)
• Connie Marie Pulmano

  • Health Educator
  • San Francisco, CA
  • NPI 1841887668
  NPD (past)
• Shawn Saylors

  • Counseling Psychologist
  • San Francisco, CA
  • NPI 1366301350
  NPD (past)
• Michele Stuvel, MSW

  • Health Educator
  • San Francisco, CA
  • NPI 1649868068
  NPD (past)

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1912362252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 MICHIGAN AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044009",
            "telephone_number": "855-446-4374",
            "fax_number": "415-704-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 MARKET ST STE 700",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052812",
            "telephone_number": "855-446-4374",
            "fax_number": "415-891-0725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N 2nd St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171011071",
            "country_code": "US",
            "telephone_number": "855-446-4374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Commercial St SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013465",
            "country_code": "US",
            "telephone_number": "855-446-4374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Bear Tavern Rd",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086281021",
            "country_code": "US",
            "telephone_number": "855-446-4374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 S Coronado Ave",
            "address_purpose": "LOCATION",
            "city": "Espanola",
            "state": "NM",
            "postal_code": "875322792",
            "country_code": "US",
            "telephone_number": "855-446-4374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2417 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904044009",
            "country_code": "US",
            "telephone_number": "855-446-4374",
            "fax_number": "415-891-0725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEADSPACE MEDICAL GROUP (CA), P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "SHTEMLER",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "NETWORK OPERATIONS MANAGER",
        "authorized_official_telephone_number": "855-446-4374"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alix Head
• Belinda Gregory Head, DDS, MS
• Headlands Psychotherapy Group: Howson & Hathaway Family Therapist PC (Headlands Psychotherapy Group)
• Headquarters Medical Group PA
• Headquarters Medical Group West PC
• Headspace Medical Group Mi PLLC
• Jasmine Healey
• Healing Hair Solution
• Healing Realms Psychotherapy Inc
• Michele Healow, RN, IBCLC

• Adult Mental Health Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.