HEADSPACE MEDICAL GROUP (CA) P.C. NPI 1629872221

NPI Information

  • NPI: 1629872221
  • Provider Name: HEADSPACE MEDICAL GROUP (CA), P.C.
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 2417 MICHIGAN AVE
    SANTA MONICA, CA
    ZIP 90404
  • Phone: (855) 446-4374

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NPI Details

HEADSPACE MEDICAL GROUP (CA), P.C. is an adult mental health clinic center in Santa Monica, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. HEADSPACE MEDICAL GROUP (CA), P.C. NPI is 1629872221. The provider is registered as an organization entity type.

The provider's business location address is:

2417 MICHIGAN AVE
SANTA MONICA, CA
ZIP 90404-009
Phone: (855) 446-4374

The provider's authorized official is Irina Shtemler .
The authorized official title is Network Operations Manager and has the following contact phone number (925) 212-7507.

The enumeration date for this NPI number is 4/2/2025 and was last updated on 6/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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