Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Head-Space Mental Health Corp

Organization Nurse Practitioner · NPI 1417737636

Head-Space Mental Health Corp is a Nurse Practitioner in Madera, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

913 Fir St W
Madera, CA 93636-9044
Phone: (507) 884-0651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1417737636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denay Kelly — Ceo · (507) 884-0651
NPI enumeratedOctober 4, 2023
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address201 Boyd St, Pepin, WI 54759-9706

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