Provider Demographics
NPI:1780475418
Name:HEALING MINDS THERAPY ASSOCIATES
Entity type:Organization
Organization Name:HEALING MINDS THERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOPKINS SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:650-799-3623
Mailing Address - Street 1:1361 S WINCHESTER BLVD STE 111
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4328
Mailing Address - Country:US
Mailing Address - Phone:650-799-3623
Mailing Address - Fax:559-404-0428
Practice Address - Street 1:1361 S WINCHESTER BLVD STE 111
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4328
Practice Address - Country:US
Practice Address - Phone:650-799-3623
Practice Address - Fax:855-940-4042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty