STREET PSYCHIATRY NPI 1588526503

NPI Information

  • NPI: 1588526503
  • Provider Name: STREET PSYCHIATRY
  • Classification: Psychiatry & Neurology - 2084B0040X
  • Specialization: Behavioral Neurology & Neuropsychiatry
  • Entity Type: Organization
  • Address: 11387 POPLAR STREET
    LOMA LINDA, CA
    ZIP 92354
  • Phone: (617) 299-6398

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NPI Details

STREET PSYCHIATRY is a behavioral neurology and neuropsychiatry psychiatry neurology in Loma Linda, CA. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. STREET PSYCHIATRY NPI is 1588526503. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11387 POPLAR STREET
LOMA LINDA, CA
ZIP 92354
Phone: (617) 299-6398

The provider's authorized official is Newton Agrawal .
The authorized official title is Ceo/manager and has the following contact phone number (617) 299-6398.

The enumeration date for this NPI number is 11/28/2025 and was last updated on 11/28/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3103T00000XPsychologistNo
4104100000XSocial WorkerNo
5163WC0400XRegistered NurseCase ManagementNo
6171400000XHealth and Wellness CoachNo
7171M00000XCase Manager/Care CoordinatorNo
8174200000XMealsNo
91744R1102XSpecialistResearch StudyNo
10174H00000XHealth EducatorNo
11175F00000XNaturopathNo
12177F00000XLodgingNo
13208D00000XGeneral PracticeNo
14363L00000XNurse PractitionerNo
152084B0040XPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryYes

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: 11/21/2025

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