Organization Active NPI

Beyond Mind TMS and Ketamine Treatment Center

  • Psychiatry Physician
  • La Jolla, CA
National Provider Identifier
1205641222
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BEYOND MIND TMS AND KETAMINE TREATMENT CENTER
Practice address
7855 Fay Ave Ste 200
La Jolla, CA 92037-4267
Phone
(202) 769-7980
NPI assigned
Feb 7, 2025
Last updated
Feb 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Bahram Panbehi, MD
Title
Partner
Phone
(202) 769-7980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

7855 Fay Ave Ste 200
La Jolla, CA 92037-4267

Mailing address

7855 Fay Ave Ste 200
La Jolla, CA 92037-4267

National Provider Directory

National Provider Directory

Locations

7855 Fay Ave
Ste 200
La Jolla, CA 92037
Phone (415) 792-0195

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1205641222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 FAY AVE STE 200",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 FAY AVE STE 200",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374267",
            "telephone_number": "202-769-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND MIND TMS AND KETAMINE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "PANBEHI",
        "authorized_official_first_name": "BAHRAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "202-769-7980",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.