Head-Space Mental Health Corp
NPI 1417737636ActiveOrganization· Nurse Practitioner· Madera, CA
Nurse Practitioner in Madera, California, registered in NPPES in October 2023. The authorized official on file is Denay Kelly, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417737636 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2023 |
| Last updated in NPPES | Mar 30, 2026 |
| Certified by provider | Mar 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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