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NPI Code Detail

MEDICARE: WELL MIND PERINATAL, A PSYCHOLOGICAL CORPORATION

MEDICARE: WELL MIND PERINATAL, A PSYCHOLOGICAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1518551126
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELL MIND PERINATAL, A PSYCHOLOGICAL CORPORATION
Provider Business Mailing Address
First Line : 2058 N MILLS AVE # 516
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-2812
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 N INDIAN HILL BLVD STE C1-200
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-4667
Country : US
Telephone Number : 909-451-9951
Fax Number :
Authorized Official
Title or Position : OWNER, PSYCHOLOGIST
Name : DR. KATAYUNE KAENI
Credential : PSY.D., PMH-C
Telephone Number : 909-451-9951
Provider Enumeration Date : 02/24/2021
Last Update Date : 02/24/2021

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Directions to “WELL MIND PERINATAL, A PSYCHOLOGICAL CORPORATION ” Practice Location

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