HEAD-SPACE MENTAL HEALTH CORP
NPI 1417737636
Nurse Practitioner in Madera, CA

Active since October 04, 2023
913 FIR ST W, MADERA, CA 93636(507) 884-0651 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Oct 4, 2023 (2 updates tracked since 2023).

About Head-space Mental Health Corp NPPES

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

HEAD-SPACE MENTAL HEALTH CORP (NPI 1417737636) is a healthcare organization registered as a nurse practitioner in Madera, California and active in the NPI registry since October 2023. The organization lists Denay Kelly, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417737636
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameHEAD-SPACE MENTAL HEALTH CORP
Location Address913 FIR ST WMadera, CA 93636-9044
Mailing Address201 Boyd StPepin, WI 54759-9706 · (507) 884-0651
Organization SubpartNo
Authorized OfficialDenay KellyCeo · (507) 884-0651
Enumeration DateOctober 4, 2023
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
NPI 1417737636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
913 FIR ST W, Madera, CA 93636

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
913 FIR ST W
MADERA, CA 93636

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 Head-Space Mental Health Corp's NPI number?

The NPI number for Head-Space Mental Health Corp is 1417737636. It was assigned to this organization in the NPPES registry on October 4, 2023.

Where is Head-Space Mental Health Corp located?

Head-Space Mental Health Corp is located at 913 Fir St W, Madera, CA 93636. The listed phone number is (507) 884-0651.

What is Head-Space Mental Health Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Head-Space Mental Health Corp accept?

Health plans from HealthPartners list Head-Space Mental Health Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Head-Space Mental Health Corp was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.