Healthcare Provider Details

I. General information

NPI: 1720951924
Provider Name (Legal Business Name): ZHW INTUITIVE MINDS PSYCHIATRIC NURSE PRACTITIONER A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 02/28/2026
Certification Date: 02/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 OLD CROW CANYON RD STE 505
SAN RAMON CA
94583-1623
US

IV. Provider business mailing address

2500 OLD CROW CANYON RD STE 505
SAN RAMON CA
94583-1623
US

V. Phone/Fax

Practice location:
  • Phone: 510-854-6443
  • Fax:
Mailing address:
  • Phone: 510-854-6443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ZITA HODGE-WREN
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 510-854-6443