PSYCHEDELIC MEDICAL ASSOCIATES PC
NPI 1588341689
Internal Medicine - Addiction Medicine in Santa Monica, CA

NPI Status: Active since June 29, 2023

Contact Information

1247 7TH ST STE 300
SANTA MONICA, CA
ZIP 90401
Phone: (310) 393-7129
Fax: (310) 564-7839

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NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: July 12, 2026.

  • Organization
  • Internal Medicine
  • Addiction Medicine

About PSYCHEDELIC MEDICAL ASSOCIATES PC

This page provides the complete NPI Profile along with additional information for Psychedelic Medical Associates Pc, an internist established in Santa Monica, California operating as a Internal Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1588341689 assigned on June 2023. The practitioner's primary taxonomy code is 207RA0401X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Keith Heinzerling Md (Director)

NPI
1588341689
Provider Name
PSYCHEDELIC MEDICAL ASSOCIATES PC
Entity Type
Organization
Location Address
1247 7TH ST STE 300 SANTA MONICA, CA 90401
Location Phone
(310) 393-7129
Location Fax
(310) 564-7839
Mailing Address
1247 7TH ST STE 300 SANTA MONICA, CA 90401
Mailing Phone
(310) 393-7129
Mailing Fax
(310) 564-7839
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-29-2023
Last Update Date
06-29-2023
Code Navigator

An internist like Psychedelic Medical Associates Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Addiction Medicine

Taxonomy Code
207RA0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KEITH HEINZERLING MD

Authorized Official Title
DIRECTOR
Authorized Official Phone
(310) 393-7129

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1588341689, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 3 → 6 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 6 + 4 + 2 + 6 + 1 + 6 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1588341689.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Social Worker (Clinical)
1247 7TH ST STE 300
SANTA MONICA, CA 90401
Counselor (Mental Health)
1247 7TH ST STE 300
SANTA MONICA, CA 90401
Marriage & Family Therapist
1247 7TH ST STE 300
SANTA MONICA, CA 90401
Marriage & Family Therapist
1247 7TH ST STE 300
SANTA MONICA, CA 90401
Marriage & Family Therapist
1247 7TH ST STE 300
SANTA MONICA, CA 90401
Marriage & Family Therapist
1247 7TH ST STE 300
SANTA MONICA, CA 90401
Rehabilitation Practitioner
1247 7TH ST STE 300
SANTA MONICA, CA 90401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588341689, enumerated as an "organization" on June 29, 2023.

The provider is located at 1247 7TH ST STE 300 SANTA MONICA, CA 90401 and the phone number is (310) 393-7129.

Internal Medicine with taxonomy code 207RA0401X and a focus in Addiction Medicine.