# HEAL PSYCHIATRIC SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174987119
- **Authorized official:** DR. FARZANA AMIN M.D. (C.E.O.)
- **Authorized official phone:** (650) 273-4082

## Contact information

- **Practice address:** 1710 S AMPHLETT BLVD, SUITE 301, SAN MATEO, CA 94402-2703
- **Practice address phone:** (650) 273-4082
- **Practice address fax:** (650) 275-7559
- **Mailing address:** 1710 S AMPHLETT BLVD, SUITE 301, SAN MATEO, CA 94402-2703
- **Mailing address phone:** (650) 273-4082
- **Mailing address fax:** (650) 275-7559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | A95033 | CA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | A95033 | CA | Yes |

## Other

- **Enumeration date:** 04/06/2016
- **Last updated:** 06/04/2016