HEAL PSYCHIATRIC SERVICES, INC
NPI 1174987119
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Mateo, CA

Active since April 06, 2016
1710 S AMPHLETT BLVD, SUITE 301, SAN MATEO, CA 94402(650) 273-4082(650) 275-7559 Get Directions Write a Review

NPPES record last updated: June 4, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Heal Psychiatric Services, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEAL PSYCHIATRIC SERVICES, INC (NPI 1174987119) is a healthcare organization registered as a child & adolescent psychiatry in San Mateo, California and active in the NPI registry since April 2016. The organization lists Farzana Amin, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1174987119
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameHEAL PSYCHIATRIC SERVICES, INC
Location Address1710 S AMPHLETT BLVD, SUITE 301San Mateo, CA 94402-2703
Mailing Address1710 S Amphlett Blvd, Suite 301San Mateo, CA 94402-2703 · (650) 273-4082 · Fax (650) 275-7559
Fax(650) 275-7559
Organization SubpartNo
Authorized OfficialFarzana AminC.e.o. · (650) 273-4082
Enumeration DateApril 6, 2016
Last NPPES UpdateJune 4, 2016
✔ NPI 1174987119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A95033
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A95033 (CA)
1710 S AMPHLETT BLVD, San Mateo, CA 94402

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heal Psychiatric Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Heal Psychiatric Services, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1669525911
2261 MARKET ST STE 86909
San Francisco, CA 94114
(650) 273-4082
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heal Psychiatric Services, Inc's NPI number?

The NPI number for Heal Psychiatric Services, Inc is 1174987119. It was assigned to this organization in the NPPES registry on April 6, 2016.

Where is Heal Psychiatric Services, Inc located?

Heal Psychiatric Services, Inc is located at 1710 S Amphlett Blvd Suite 301, San Mateo, CA 94402. The listed phone number is (650) 273-4082.

What is Heal Psychiatric Services, Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Heal Psychiatric Services, Inc enrolled in Medicare?

Yes. Heal Psychiatric Services, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heal Psychiatric Services, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Heal Psychiatric Services, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Heal Psychiatric Services, Inc was last updated on June 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.