| Heal Psychiatric Services, Inc | |
|
1710 S Amphlett Blvd Ste 250 San Mateo CA 94402-2715 | |
| (650) 273-4082 | |
| (650) 275-7559 |
| Full Name | Heal Psychiatric Services, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1710 S Amphlett Blvd Ste 250, San Mateo, California |
| Authorized Official Name and Position | Farzana Amin (CEO/OWNER) |
| Authorized Official Contact | 3146297696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heal Psychiatric Services, Inc 1710 S Amphlett Blvd Ste 250 San Mateo CA 94402-2715 Ph: (650) 273-4082 | Heal Psychiatric Services, Inc 1710 S Amphlett Blvd Ste 250 San Mateo CA 94402-2715 Ph: (650) 273-4082 |
| NPI Number | 1417685181 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/22/2022 |
| Certification Date | 08/22/2022 |
| Medicare PECOS PAC ID | 6305220427 |
|---|---|
| Medicare Enrollment ID | O20220908001387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417685181 | NPI | - | NPPES |
| Provider Name | Farzana Amin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669525911 PECOS PAC ID: 3476656661 Enrollment ID: I20070308000237 |
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