Provider Demographics
NPI:1598498073
Name:DR. KATINDO MENTAL HEALTH CLINIC INC.
Entity Type:Organization
Organization Name:DR. KATINDO MENTAL HEALTH CLINIC INC.
Other - Org Name:DR KATINDO MENTAL HEALTH CLINIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:
Authorized Official - Last Name:KATINDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-360-7222
Mailing Address - Street 1:27125 SIERRA HWY STE 325P
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91351-5432
Mailing Address - Country:US
Mailing Address - Phone:661-360-7222
Mailing Address - Fax:
Practice Address - Street 1:27125 SIERRA HWY STE 325P
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91351-5432
Practice Address - Country:US
Practice Address - Phone:661-360-7222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-02
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty