Healthcare Provider Details

I. General information

NPI: 1720977820
Provider Name (Legal Business Name): VIHAAN BEHAVIORAL HEALTH FOR PSYCHIATRIC SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6836 E GENESEE ST STE C
FAYETTEVILLE NY
13066-1024
US

IV. Provider business mailing address

PO BOX 461
MANLIUS NY
13104-0461
US

V. Phone/Fax

Practice location:
  • Phone: 315-925-6868
  • Fax:
Mailing address:
  • Phone: 315-925-6868
  • 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. TARUN KUMAR
Title or Position: PARTNER
Credential: MD
Phone: 315-925-6868