Active NPI
Verdant Behavioral Health, a Nursing Organization
- Psychiatry Physician
- Campbell, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- VERDANT BEHAVIORAL HEALTH, A NURSING ORGANIZATION
- Practice address
- 125 E Campbell Ave # 201
Campbell, CA 95008-7700 - Phone
- (408) 508-6256
- Fax
- (408) 608-0376
- NPI assigned
- Jun 24, 2018
- Last updated
- Jun 24, 2018
- Organization subpart
- Yes
- Parent organization
- VERDANT BEHAVIORAL HEALTH, A NURSING ORGANIZATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Arnold Fosah, PMHNP - BC
- Title
- Founder, Ceo
- Phone
- (408) 674-0310
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
125 E Campbell Ave # 201
Campbell, CA 95008-7700
Mailing address
125 E Campbell Ave # 201
Campbell, CA 95008-7700
Phone (408) 508-6256
Other names 1
- Verdant Behavioral Health
National Provider Directory
National Provider Directory- Tax ID family
- Verdant Behavioral Health a Nursing Organization
- Part of
- Verdant Behavioral Health a Nursing Organization
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Gilroy, CA
- NPI 1578212734
Locations
125 E Campbell Ave
#201
Campbell, CA 95008
Phone (408) 508-6256
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Psychiatry Physician
- Gilroy, CA
- NPI 1578212734
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- San Jose, CA
- NPI 1619384864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529798400000",
"number": "1043705908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E CAMPBELL AVE # 201",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950087700",
"telephone_number": "408-508-6256",
"fax_number": "408-608-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E CAMPBELL AVE # 201",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950087700",
"telephone_number": "408-508-6256",
"fax_number": "408-608-0376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERDANT BEHAVIORAL HEALTH, A NURSING ORGANIZATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VERDANT BEHAVIORAL HEALTH, A NURSING ORGANIZATION",
"enumeration_date": "2018-06-24",
"last_updated": "2018-06-24",
"status": "A",
"authorized_official_last_name": "FOSAH",
"authorized_official_first_name": "ARNOLD",
"authorized_official_title_or_position": "FOUNDER, CEO",
"authorized_official_telephone_number": "408-674-0310",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PMHNP - BC"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Verdant Behavioral Health",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.