MIND SPACE MENTAL HEALTH INC
NPI 1720800667
Psychiatry & Neurology - Psychiatry in Laguna Beach, CA

Active since October 31, 2024
31852 COAST HWY STE 400, LAGUNA BEACH, CA 92651(949) 689-9754 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mind Space Mental Health Inc NPPES

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

MIND SPACE MENTAL HEALTH INC (NPI 1720800667) is a healthcare organization registered as a psychiatry in Laguna Beach, California and active in the NPI registry since October 2024. The organization lists Charles Tuan-tu Song Nguyen, Doctor/ceo, as its authorized official.

NPPES Registry Identity

NPI1720800667
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMIND SPACE MENTAL HEALTH INC
Location Address31852 COAST HWY STE 400Laguna Beach, CA 92651-6767
Mailing Address31852 Coast Hwy Ste 400Laguna Beach, CA 92651-6767 · (949) 689-9754
Organization SubpartNo
Authorized OfficialCharles Tuan-tu Song NguyenDoctor/ceo · (949) 689-9754
Enumeration DateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1720800667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedGeneral PracticeTaxonomy 208D00000X
31852 COAST HWY STE 400, Laguna Beach, CA 92651

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)

Mind Space Mental Health Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Mind Space Mental Health Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Psychiatry
NPI 1942380118
3 SALTON
Irvine, CA 92602
(909) 610-9524
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1851018469
11180 WARNER AVE STE 353
Fountain Valley, CA 92708
(800) 597-7977
✔ PECOS✔ Accepts Medicare18 mi
Psychiatry
NPI 1578862256
2237 W BALL RD
Anaheim, CA 92804
(714) 490-2750
✔ PECOS25 mi
Psychiatry
NPI 1255750246
5901 E 7TH ST
Long Beach, CA 90822
(562) 826-8000
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1245779016
9333 IMPERIAL HWY
Downey, CA 90242
(800) 823-4040
✔ PECOS✔ Accepts Medicare36 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 Mind Space Mental Health Inc's NPI number?

The NPI number for Mind Space Mental Health Inc is 1720800667. It was assigned to this organization in the NPPES registry on October 31, 2024.

Where is Mind Space Mental Health Inc located?

Mind Space Mental Health Inc is located at 31852 Coast Hwy Ste 400, Laguna Beach, CA 92651. The listed phone number is (949) 689-9754.

What is Mind Space Mental Health Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mind Space Mental Health Inc enrolled in Medicare?

Yes. Mind Space Mental Health Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mind Space Mental Health Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Mind Space Mental Health 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. The largest specialties are Psychiatry (3) and Nurse Practitioner (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mind Space Mental Health Inc was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.