Healthcare Provider Details

I. General information

NPI: 1245943596
Provider Name (Legal Business Name): UNITED PSYCHIATRY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2023
Last Update Date: 02/05/2024
Certification Date: 02/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1049 EL MONTE AVE STE C755
MOUNTAIN VIEW CA
94040-2398
US

IV. Provider business mailing address

1049 EL MONTE AVE STE C-755
MOUNTAIN VIEW CA
94040-2398
US

V. Phone/Fax

Practice location:
  • Phone: 650-600-0107
  • Fax:
Mailing address:
  • Phone: 650-441-8435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PARVATHI NANJUNDIAH
Title or Position: BOARD MEMBER
Credential: MD
Phone: 650-441-8435