NPIMap

Organization Active NPI

Kern Psychiatric Health and Wellness Center Inc

  • Psychiatry Physician
  • Bakersfield, CA
National Provider Identifier
1962917021
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
KERN PSYCHIATRIC HEALTH AND WELLNESS CENTER INC
Practice address
8329 Brimhall Rd Ste 804
Bakersfield, CA 93312-2243
Phone
(661) 431-1555
NPI assigned
Dec 11, 2017
Last updated
Apr 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Iyengar Malini, MDNPI 1699842633
Title
Owner
Phone
(661) 323-6410

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

8329 Brimhall Rd Ste 804
Bakersfield, CA 93312-2243

Mailing address

PO Box 10748
Bakersfield, CA 93389-0748
Phone (661) 379-9710

Other practice location 1

6313 Schirra Ct # 100
Bakersfield, CA 93313-2174
Phone (661) 323-6410

Other practice location 2

2535 16th St Ste 205
Bakersfield, CA 93301-3417
Phone (661) 431-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180517001500 CA Part B Supplier - Clinic/Group Practice 5193080323 Receives reassigned benefits from 17 practitioners
Practice locations: Bakersfield, CA; Encinitas, CA; San Luis Obispo, CA; Santa Clarita, CA; Victorville, CA

National Provider Directory

National Provider Directory
Tax ID family
Kern Psychiatric Health and Wellness Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

6313 Schirra Ct
Bakersfield, CA 93313
Phone (661) 323-6410

6313 Schirra Ct
#100
Bakersfield, CA 93313
Phone (661) 323-6410

8329 Brimhall Rd
Ste 804
Bakersfield, CA 93312
Phone (661) 431-1555

895 Aerovista Pl
Ste 106
San Luis Obispo, CA 93401
Phone (510) 846-0826

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1962917021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10748",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933890748",
            "telephone_number": "661-379-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8329 BRIMHALL RD STE 804",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122243",
            "telephone_number": "661-431-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6313 Schirra Ct # 100",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933132174",
            "country_code": "US",
            "telephone_number": "661-323-6410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2535 16th St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933013417",
            "country_code": "US",
            "telephone_number": "661-431-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KERN PSYCHIATRIC HEALTH AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "MALINI",
        "authorized_official_first_name": "IYENGAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-323-6410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.