Provider Demographics
NPI:1093560476
Name:ONE HEALTHY MIND PSYCHOLOGY SERVICES, INC
Entity Type:Organization
Organization Name:ONE HEALTHY MIND PSYCHOLOGY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SADAF
Authorized Official - Middle Name:
Authorized Official - Last Name:NEZHAD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:714-280-5544
Mailing Address - Street 1:18375 VENTURA BLVD STE 646
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4218
Mailing Address - Country:US
Mailing Address - Phone:714-280-5544
Mailing Address - Fax:
Practice Address - Street 1:31142 VIA COLINAS
Practice Address - Street 2:
Practice Address - City:COTO DE CAZA
Practice Address - State:CA
Practice Address - Zip Code:92679-4005
Practice Address - Country:US
Practice Address - Phone:714-280-5544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty