Organization Active NPI

Verdant Behavioral Health, a Nursing Organization

  • Psychiatry Physician
  • Campbell, CA
National Provider Identifier
1043705908
Registry record updated Jun 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
VERDANT BEHAVIORAL HEALTH, A NURSING ORGANIZATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Arnold Fosah, PMHNP - BCNPI 1619384864
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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory
Tax ID family
Verdant Behavioral Health a Nursing Organization2 organizations share this tax ID, including this one
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.

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.

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.

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.

Verify at the official NPI Registry.