MEDICARE: MYRIAD BEHAVIORAL SOLUTIONS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist
2	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1366854754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYRIAD BEHAVIORAL SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	4100 NEWPORT PLACE DR
Second Line	:	SUITE 730
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2423
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 NEWPORT PLACE DR
Second Line	:	SUITE 730
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2423
Country	:	US
Telephone Number	:	949-612-3955
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NISHANT KUMAR
Credential	:	D.O.
Telephone Number	:	949-612-3955

Provider Enumeration Date	:	05/20/2014
Last Update Date	:	05/20/2014

Similar Medicare Providers

1992972624 — DR. ANTONELLA B ALUZRI PSYCHOLOGIST
Practice Location Address:

6511 E WALKERTON ST , 6511 E WALKERTON ST.
LONG BEACH, CA
90808-2423

Practice Phone: 310-713-5342
Practice Fax:

1730326935 — MRS. SUSAN WINITSKY LEVY MS CCC-SLP
Practice Location Address:

10105 AVENIDA DEL RIO
DELRAY BEACH, FL
33446-2423

Practice Phone: 561-702-3965
Practice Fax: 561-638-5880

1285871483 — SUELY CORP
Practice Location Address:

10105 AVENIDA DEL RIO
DELRAY BEACH, FL
33446-2423

Practice Phone: 561-702-3965
Practice Fax: 561-638-5880

1104163963 — INTEGRATED SPEECH THERAPY LLC
Practice Location Address:

10105 AVENIDA DEL RIO
DELRAY BEACH, FL
33446-2423

Practice Phone: 561-702-3965
Practice Fax: 561-638-5880

1427509454 — JACQUELINE ATIENZA
Practice Location Address:

91-614 POHAKUPUNA RD
EWA BEACH, HI
96706-2423

Practice Phone: 808-753-5990
Practice Fax: 808-784-0698

1093226789 — MS. STACEY LYNN SHAW APRN
Practice Location Address:

2423 HIGHWAY 17 S
NORTH MYRTLE BEACH, SC
29582-4343

Practice Phone: 843-919-0700
Practice Fax: 843-919-0727

Directions to “MYRIAD BEHAVIORAL SOLUTIONS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.