OrganizationMind Harbor Psychological Services IncPsychologistBehavioral Health & Social Service ProvidersPractice Address2570 N 1st Street 2nd Floor, 1055, San Jose, CA 95131(650) 613-9897PECOS EnrollmentBased on the most recent information from CMS, provider Mind Harbor Psychological Services Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1811790363Provider TypeOrganizationFull NameMind Harbor Psychological Services IncSubpartNoEnumeration Date3/31/2025Last Updated3/31/2025Contact InformationPractice LocationPractice Address2570 N 1st Street 2nd Floor, 1055, San Jose, CA 95131Phone(650) 613-9897FaxUnlisted FaxMailing LocationMailing Address2570 N 1st Street 2nd Floor, 1055, San Jose, CA 95131Phone(650) 613-9897FaxUnlisted FaxAuthorized OfficialNameHermes, Jet (Owner)Phone(650) 613-9897Provider TaxonomiesCodeDescriptionLicenseCode103T00000XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer