PATHWAVE PSYCHIATRY PC NPI 1124809793

NPI Information

  • NPI: 1124809793
  • Provider Name: PATHWAVE PSYCHIATRY PC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Address: 1270 CAMPUS DR
    BERKELEY, CA
    ZIP 94708
  • Phone: (617) 299-9383

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NPI Details

PATHWAVE PSYCHIATRY PC is a psychiatry psychiatry neurology in Berkeley, CA. The provider is 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. PATHWAVE PSYCHIATRY PC NPI is 1124809793. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1270 CAMPUS DR
BERKELEY, CA
ZIP 94708-045
Phone: (617) 299-9383

The provider's authorized official is Sahab Yaqubi .
The authorized official title is Ceo and has the following contact phone number (510) 925-1230.

The enumeration date for this NPI number is 10/10/2023 and was last updated on 10/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

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This page was last updated on: 11/21/2025

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