Healthcare Provider Details

I. General information

NPI: 1861305260
Provider Name (Legal Business Name): HEALTHY MIND PSYCHOLOGICAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1274 CENTER COURT DR STE 107
COVINA CA
91724-3668
US

IV. Provider business mailing address

1274 CENTER COURT DR STE 107
COVINA CA
91724-3668
US

V. Phone/Fax

Practice location:
  • Phone: 626-869-8090
  • Fax:
Mailing address:
  • Phone: 626-869-8090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. BERENICE GONZALEZ
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 626-374-0221