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ORANGE PSYCHIATRIC MEDICAL GROUP INC NPI 1205181757


NPI Information

NPI: 1205181757
Provider Name: ORANGE PSYCHIATRIC MEDICAL GROUP, INC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
4000 14TH ST
SUITE 310A
RIVERSIDE, CA
ZIP 92501
Phone: (951) 276-1100
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ORANGE PSYCHIATRIC MEDICAL GROUP, INC is a psychiatry psychiatry neurology in Riverside, 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. ORANGE PSYCHIATRIC MEDICAL GROUP, INC NPI is 1205181757. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4000 14TH ST
SUITE 310A
RIVERSIDE, CA
ZIP 92501-018
Phone: (951) 276-1100
Fax: (951) 276-1105

The provider's authorized official is Sai B Chundu .
The authorized official title is President/ Owner and has the following contact phone number (951) 737-1917.

The enumeration date for this NPI number is 7/20/2012 and was last updated on 7/20/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthCALIFORNIANo
2103TC0700XPsychologistClinicalCALIFORNIANo
31041C0700XSocial WorkerClinicalCALIFORNIANo
4106H00000XMarriage & Family TherapistCALIFORNIANo
52084P0800XPsychiatry & NeurologyPsychiatryCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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