MEDICARE: PSYCHPLUS ASSOCIATES OF CALIFORNIA PC

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1457179442
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCHPLUS ASSOCIATES OF CALIFORNIA PC

Provider Business Mailing Address
First Line	:	7877 WILLOW CHASE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-5934
Country	:	US
Telephone Number	:	832-869-4818
Fax Number	:

Provider Business Practice Location Address
First Line	:	3095 TELEGRAPH AVE
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94705-2035
Country	:	US
Telephone Number	:	832-869-4818
Fax Number	:	832-241-2902

Authorized Official
Title or Position	:	CEO
Name	:	FAISAL TAI
Credential	:	MD
Telephone Number	:	832-869-4818

Provider Enumeration Date	:	09/30/2024
Last Update Date	:	02/02/2026

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