MIND HARBOR PSYCHOLOGICAL SERVICES INC
NPI 1811790363
Psychologist in San Jose, CA
About Mind Harbor Psychological Services Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIND HARBOR PSYCHOLOGICAL SERVICES INC (NPI 1811790363), doing business as Mind Harbor, is a healthcare organization registered as a psychologist in San Jose, California and active in the NPI registry since March 2025. The organization lists Jet Hermes, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
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 Harbor Psychological 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 Mind Harbor Psychological Services Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
San Jose, CA 95131
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 Harbor Psychological Services Inc's NPI number?
The NPI number for Mind Harbor Psychological Services Inc is 1811790363. It was assigned to this organization in the NPPES registry on March 31, 2025. The provider is doing business as Mind Harbor.
Where is Mind Harbor Psychological Services Inc located?
Mind Harbor Psychological Services Inc is located at 2570 N 1st St Ste 200, San Jose, CA 95131. The listed phone number is (650) 613-9897.
What is Mind Harbor Psychological Services Inc's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Mind Harbor Psychological Services Inc enrolled in Medicare?
Yes. Mind Harbor Psychological Services Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mind Harbor Psychological Services Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mind Harbor Psychological 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 Mind Harbor Psychological Services Inc was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.