Prodigy Psychiatric Group

LBN: Prodigy Psychiatric Group
Prodigy Psychiatric Group is an health care organization with primary practice located at 5791 Capilano Dr , San Jose CA 95138-2364. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Prodigy Psychiatric Group can be contacted via phone (408) 630-1209, or through Verma, Beeta R via phone (510) 875-7721.

Contact Information

Primary practice address
5791 Capilano Dr San Jose CA 95138-2364
Phone: (408) 630-1209
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Verma, Beeta R Doctor of Medicine (MD)
Phone: (510) 875-7721

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1255990768
LBN Legal business name Prodigy Psychiatric Group
DBA Doing business as
Authorized official Verma, Beeta R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2019
Last updated Oct 26th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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