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

Healing Source Medical, Inc

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1649781121

Healing Source Medical, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Newport Beach, California. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1601 Dove St Ste 185
Newport Beach, CA 92660-2441
Phone: (949) 416-2183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1649781121
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Chaney — Chief Executive Officer · (949) 416-2183
NPI enumeratedOctober 24, 2017
Last updated in NPPESOctober 24, 2017
Mailing address1601 Dove St Ste 185, Newport Beach, CA 92660-2441

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