Healthcare Provider Details

I. General information

NPI: 1396112058
Provider Name (Legal Business Name): MOUNTAIN VIEW PSYCHIATRY AND TMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2015
Last Update Date: 03/28/2024
Certification Date: 03/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 HOSPITAL DR STE 3A
MOUNTAIN VIEW CA
94040-4109
US

IV. Provider business mailing address

2500 HOSPITAL DR STE 3A
MOUNTAIN VIEW CA
94040-4109
US

V. Phone/Fax

Practice location:
  • Phone: 650-696-6772
  • Fax:
Mailing address:
  • Phone: 650-696-6772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC50631
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License NumberC50631
License Number StateCA

VIII. Authorized Official

Name: DR. ZAHIDA TAYYIB
Title or Position: CEO
Credential: M.D.
Phone: 650-468-1139