Prodigy Psychiatric Group
Prodigy Psychiatric Group is a Psychiatry Physician in San Jose, California. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
5791 Capilano DrSan Jose, CA 95138-2364
Phone: (408) 630-1209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|---|
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X |
Record details
| NPI number | 1255990768 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Beeta Verma — President · (510) 875-7721 |
| NPI enumerated | June 8, 2019 |
| Last updated in NPPES | October 26, 2022 |
| Certification date | October 26, 2022 |
| Mailing address | 5791 Capilano Dr, San Jose, CA 95138-2364 |
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