Healthcare Provider Details

I. General information

NPI: 1073439840
Provider Name (Legal Business Name): ATLAS PSYCHIATRY, MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

298 BERNAL RD STE B
SAN JOSE CA
95119-1809
US

IV. Provider business mailing address

298 BERNAL RD STE B
SAN JOSE CA
95119-1809
US

V. Phone/Fax

Practice location:
  • Phone: 408-638-4744
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HEIDI STAHL
Title or Position: PRESIDENT
Credential: MD
Phone: 408-638-4744