PRODIGY PSYCHIATRIC GROUP (NPI# 1255990768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255990768 |
Entity Type | Organization |
Organization Name | PRODIGY PSYCHIATRIC GROUP |
Practice Address |
6120 Hellyer Ave San Jose CA 95138-1065 |
Mailing Address |
5791 Capilano Dr San Jose CA 95138-2364 |
Practice Telephone | 5108757721 |
Practice Fax Number | 5103995443 |
Mailing Telephone | 5108757721 |
Enumeration Date | 2019-06-08 |
Last Update Date | 2019-06-08 |
Authorized Official Name | BEETA R VERMA (PRESIDENT) |
Authorized Official Telephone | 5108757721 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
Street Address |
6120 HELLYER AVE |
City | SAN JOSE |
State | CA |
Zip Code | 95138-1065 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124397708 | Beeta Verma | Psychiatry & Neurology | 6120 Hellyer Ave, San Jose, CA 95138-1065 | 2011-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023623865 | Nguyen and Tran Dental Corporation | Dentist | 6130 Hellyer Avenue, San Jose, CA 95138 | 2020-09-09 |
1821564485 | Indian Health Center of Santa Clara Valley | Clinic/Center | 9501 Malech Rd, San Jose, CA 95138 | 2018-10-22 |
1548690324 | Megan Chang | Occupational Therapist | 5900, Pistoia Way, San Jose, CA 95138 | 2013-11-15 |
1720428410 | Cristina Duenas | Social Worker | 5855 Silver Creek Valley Pl, San Jose, CA 95138 | 2013-06-27 |
1174967079 | Guardian Sleep Clinic, LLC | Clinical Medical Laboratory | 315 Piercy Rd, San Jose, CA 95138 | 2013-04-22 |
1871847889 | Rebecca Kerry Van Sickle | Counselor | 9500 Malech Rd, San Jose, CA 95138 | 2012-10-30 |
1366720906 | Ariosa Diagnostics, Inc. | Clinical Medical Laboratory | 5945 Optical Court, San Jose, CA 95138 | 2011-08-01 |
1043406713 | Umaru Fofana | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138 | 2007-09-17 |
1316140569 | Dickman & Bourla Chiropractic Inc | Chiropractor | 2311 Silver Breeze Ct, San Jose, CA 95138 | 2007-06-06 |
1508983032 | Traci Pickett | Counselor | 9500 Malech Road, San Jose, CA 95138 | 2007-03-22 |
Find all providers in zip 95138 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295343366 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 177 Park Ave, San Jose, CA 95113-2259 | 2020-07-15 |
1255954145 | Strive Psychiatric Services Inc. | Psychiatry & Neurology | 2570 N 1st St Fl 2, San Jose, CA 95131-1035 | 2020-05-26 |
1891293007 | Norman Reynolds | Psychiatry & Neurology | 1730 Hamilton Ave, San Jose, CA 95125-5424 | 2018-01-23 |
1861900367 | Golden Gate Psychiatry Associates | Psychiatry & Neurology | 2570 N 1st St Ste 216, San Jose, CA 95131-1035 | 2018-01-18 |
1114314846 | Jennifer Atienza Duyanen | Psychiatry & Neurology | 2150 N 1st St Ste 650, San Jose, CA 95131-2031 | 2015-04-21 |
1245596329 | Honor Hsin | Psychiatry & Neurology | 5755 Cottle Rd Bldg 24, San Jose, CA 95123-3640 | 2012-04-03 |
1124397708 | Beeta Verma | Psychiatry & Neurology | 6120 Hellyer Ave, San Jose, CA 95138-1065 | 2011-12-28 |
1093006983 | Yang Xu | Psychiatry & Neurology | 1530 The Alameda, Suite 315, San Jose, CA 95126-2303 | 2011-04-26 |
1326277567 | Samer Salmo | Psychiatry & Neurology | 1530 The Alameda Ste 315, San Jose, CA 95126-2303 | 2009-07-09 |
1881821791 | Suzanna Lynn Freerksen | Psychiatry & Neurology | 913 Willow St Ste 103, San Jose, CA 95125-2380 | 2009-06-18 |
Find all providers in SAN JOSE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.