Active NPI
The Faculty Practice, P.C.
- Psychiatry Physician
- Palo Alto, CA
National Provider Identifier
1164235289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- THE FACULTY PRACTICE, P.C.
- Practice address
- 535 Ramona St Ste 2
Palo Alto, CA 94301-1724 - Phone
- (646) 883-6640
- NPI assigned
- Jan 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juliana Bradley
- Title
- Intake Coordinator
- Phone
- (646) 883-6640
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | |||
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
535 Ramona St Ste 2
Palo Alto, CA 94301-1724
Mailing address
PO Box 1252
New York, NY 10021-0038
National Provider Directory
National Provider DirectoryLocations
535 Ramona St
Ste 2
Palo Alto, CA 94301
Phone (530) 604-5298
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738281600000",
"number": "1164235289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1252",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100210038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 RAMONA ST STE 2",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943011724",
"telephone_number": "646-883-6640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE FACULTY PRACTICE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-31",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "JULIANA",
"authorized_official_title_or_position": "INTAKE COORDINATOR",
"authorized_official_telephone_number": "646-883-6640"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083B0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.