MINA HEYDARI (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1992275762
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Loading map...
Provider Addresses for MINA HEYDARI (PMHNP-BC)
1005 ARMORLITE DR APT 335
SAN MARCOS, CA 920691692
Phone: (847) 322-5901
Type: Mailing
1045, 9th Avenue, Core District, Banker's Hill, San Diego, San Diego County, California, 92101, United States
SAN DIEGO, CA 921015504
Phone: (619) 235-2600
Type: Location
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 913012287
Phone: (925) 282-1778
Fax: (415) 296-5299
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $325.
Total Amount is formed as General ($325) + Research ($0) + Ownership ($0) = $325.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: ITI, Inc. ($115).
Total Amount
$325
General + Research + Ownership
Payments
6
Total payment records
General Amount
$325
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. | $115 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $108 |
| ABBVIE INC. | $102 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240715002215 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92069)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Mental Health Counselor | AZ | |
| Nurse Practitioner | AZ | |
| P S Y C H I A T R Y | CA | |
| Clinical Social Worker | CA | |
| Marriage And Family Therapist | CA | |
| Clinical Psychologist | CA | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | AZ | |
| Mental Health Counselor | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.