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HEADSPACE MEDICAL GROUP (CA), P.C.
NPI 1912362252
Clinic/Center - Adult Mental Health in San Francisco, CA

Active since December 30, 2015
595 MARKET ST STE 700, SAN FRANCISCO, CA 94105(855) 446-4374(415) 891-0725 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2025, Jun 18, 2025, Jun 9, 2025 and 8 more (11 updates tracked since 2015).

About Headspace Medical Group (ca), P.c. NPPES

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

HEADSPACE MEDICAL GROUP (CA), P.C. (NPI 1912362252) is a healthcare organization registered as an adult mental health in San Francisco, California and active in the NPI registry since December 2015. The organization maintains 5 additional practice locations and lists Irina Shtemler, Network Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1912362252
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameHEADSPACE MEDICAL GROUP (CA), P.C.
Location Address595 MARKET ST STE 700San Francisco, CA 94105-2812
Mailing Address2417 Michigan AveSanta Monica, CA 90404-4009 · (855) 446-4374 · Fax (415) 704-3356
Phone(855) 446-4374
Fax(415) 891-0725
Organization SubpartNo
Authorized OfficialIrina ShtemlerNetwork Operations Manager · (855) 446-4374
Enumeration DateDecember 30, 2015
Last NPPES UpdateSeptember 4, 202511 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1912362252 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.
595 MARKET ST STE 700, San Francisco, CA 94105
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1600 N 2nd St Ste 401Harrisburg, PA 17101-1071 · Phone (855) 446-4374
Location 2780 Commercial St SE Ste 100Salem, OR 97301-3465 · Phone (855) 446-4374
Location 3820 Bear Tavern RdEwing, NJ 08628-1021 · Phone (855) 446-4374
Location 4206 S Coronado AveEspanola, NM 87532-2792 · Phone (855) 446-4374
Location 52417 Michigan AveSanta Monica, CA 90404-4009 · Phone (855) 446-4374 · Fax (415) 891-0725

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Headspace Medical Group (ca), P.c. 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 Headspace Medical Group (ca), P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jonathan Kole, MD
Psychiatry
NPI 1801233945
2417 MICHIGAN AVE
Santa Monica, CA 90404
(855) 446-4374
✔ PECOS340 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 Headspace Medical Group (ca), P.C.'s NPI number?

The NPI number for Headspace Medical Group (ca), P.C. is 1912362252. It was assigned to this organization in the NPPES registry on December 30, 2015.

Where is Headspace Medical Group (ca), P.C. located?

Headspace Medical Group (ca), P.C. is located at 595 Market St Ste 700, San Francisco, CA 94105. The listed phone number is (855) 446-4374.

What is Headspace Medical Group (ca), P.C.'s specialty?

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

Is Headspace Medical Group (ca), P.C. enrolled in Medicare?

Yes. Headspace Medical Group (ca), P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Headspace Medical Group (ca), P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Headspace Medical Group (ca), P.C.. 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.

What insurance does Headspace Medical Group (ca), P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 9 other insurers list Headspace Medical Group (ca), P.C. 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 Headspace Medical Group (ca), P.C. was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.