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

Psychedelic Medical Associates PC

Organization Marriage & Family Therapist · NPI 1588341689

Psychedelic Medical Associates PC is a Marriage & Family Therapist in Santa Monica, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1247 7th St Ste 300
Santa Monica, CA 90401-1644
Phone: (310) 393-7129
Fax: (310) 564-7839
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1588341689
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Heinzerling — Director · (310) 393-7129
NPI enumeratedJune 29, 2023
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023
Mailing address1247 7th St Ste 300, Santa Monica, CA 90401-1644

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