MINA HEYDARI PMHNP-BC NPI 1992275762

NPI Information

  • NPI: 1992275762
  • Provider Name: MINA HEYDARI, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5012 CHESEBRO RD STE 200
    AGOURA HILLS, CA
    ZIP 91301
  • Phone: (925) 282-1778

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NPI Details

Mina Heydari, PMHNP-BC is a psychiatric/mental health nurse practitioner in Agoura Hills, CA. Mina Heydari, PMHNP-BC NPI is 1992275762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5012 CHESEBRO RD STE 200
AGOURA HILLS, CA
ZIP 91301-287
Phone: (925) 282-1778
Fax: (415) 296-5299

The NPI 1992275762 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2018 and was last updated on 6/26/2024.

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
1163W00000XRegistered NurseRN95147493CALIFORNIANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health95023715CALIFORNIAYes

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: 3/30/2025

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