PRODIGY PSYCHIATRIC GROUP


Address: 6120 Hellyer Ave, San Jose, CA 95138-1065
Phone: 5108757721

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 6120 HELLYER AVE
City SAN JOSE
State CA
Zip Code 95138-1065

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124397708 Beeta Verma Psychiatry & Neurology 6120 Hellyer Ave, San Jose, CA 95138-1065 2011-12-28

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City SAN JOSE
Zip Code 95138

Improve Information

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Dataset Information

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.

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