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HEADSPACE MEDICAL GROUP (KS) LLC
NPI 1194693200
Clinic/Center - Adult Mental Health in Santa Monica, CA

Active since October 29, 2025
2417 MICHIGAN AVE, SANTA MONICA, CA 90404(855) 446-4374 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Headspace Medical Group (ks) Llc NPPES

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

HEADSPACE MEDICAL GROUP (KS) LLC (NPI 1194693200) is a healthcare organization registered as an adult mental health in Santa Monica, California and active in the NPI registry since October 2025. The organization lists Irina Shtemler, Network Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1194693200
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameHEADSPACE MEDICAL GROUP (KS) LLC
Location Address2417 MICHIGAN AVESanta Monica, CA 90404-4009
Mailing Address2417 Michigan AveSanta Monica, CA 90404-4009 · (855) 446-4374
Phone(855) 446-4374
Organization SubpartNo
Authorized OfficialIrina ShtemlerNetwork Operations Manager · (855) 446-4374
Enumeration DateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1194693200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

2417 MICHIGAN AVE, Santa Monica, CA 90404
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEADSPACE MEDICAL GROUP (NJ) LLC
Clinic/Center (Adult Mental Health)
2417 MICHIGAN AVE
SANTA MONICA, CA 90404
Los Angeles County (855) 446-4374
HEADSPACE MEDICAL GROUP (CA), P.C.
Clinic/Center (Adult Mental Health)
2417 MICHIGAN AVE
SANTA MONICA, CA 90404
Los Angeles County (855) 446-4374
BEVERLY IBEH
Psychologist (Clinical)
2417 MICHIGAN AVE
SANTA MONICA, CA 90404
Los Angeles County (855) 446-4374
JONATHAN WILLIAM KOLE MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2417 MICHIGAN AVE
SANTA MONICA, CA 90404
Los Angeles County (855) 446-4374
JASMINE RAYSOR
Student in an Organized Health Care Education/Training Program
2417 MICHIGAN AVE
SANTA MONICA, CA 90404
Los Angeles County (443) 201-1570
HALEY SPEER LCSW
Social Worker (Clinical)
2417 MICHIGAN AVE
SANTA MONICA, CA 90404
Los Angeles County (855) 446-4374

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 Headspace Medical Group (ks) LLC's NPI number?

The NPI number for Headspace Medical Group (ks) LLC is 1194693200. It was assigned to this organization in the NPPES registry on October 29, 2025.

Where is Headspace Medical Group (ks) LLC located?

Headspace Medical Group (ks) LLC is located at 2417 Michigan Ave, Santa Monica, CA 90404. The listed phone number is (855) 446-4374.

What is Headspace Medical Group (ks) LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Headspace Medical Group (ks) LLC was last updated on October 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.