PRODIGY PSYCHIATRIC GROUP NPI 1255990768

NPI Information

  • NPI: 1255990768
  • Provider Name: PRODIGY PSYCHIATRIC GROUP
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Address: 5791 CAPILANO DR
    SAN JOSE, CA
    ZIP 95138
  • Phone: (408) 630-1209

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NPI Details

PRODIGY PSYCHIATRIC GROUP is a psychiatry psychiatry neurology in San Jose, 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. PRODIGY PSYCHIATRIC GROUP NPI is 1255990768. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5791 CAPILANO DR
SAN JOSE, CA
ZIP 95138-364
Phone: (408) 630-1209

The provider's authorized official is Beeta R Verma .
The authorized official title is President and has the following contact phone number (510) 875-7721.

The enumeration date for this NPI number is 6/8/2019 and was last updated on 10/26/2022.

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
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
22084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

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This page was last updated on: 3/30/2025

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