Active NPI
Piedmont Behavioral Services, PC
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1225451776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2012-01584
- Legal business name
- PIEDMONT BEHAVIORAL SERVICES, PC
- Practice address
- 17070 Red Oak Dr Ste 303
Houston, TX 77090-2616 - Phone
- (919) 297-2930
- Fax
- (877) 630-9339
- NPI assigned
- Feb 3, 2014
- 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
- Ijaz Rasul, MD
- Title
- President
- Phone
- (601) 622-5652
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2012-01584 | NC | Primary |
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
17070 Red Oak Dr Ste 303
Houston, TX 77090-2616
Mailing address
130 Preston Executive Dr Ste 102
Cary, NC 27513-8433
Phone (919) 297-2930
Other practice location 1
130 Preston Executive Dr Ste 102
Cary, NC 27513-8433
Phone (919) 297-2930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5922235 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Cary, NC
- NPI 1770719551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760400000000",
"number": "1225451776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 PRESTON EXECUTIVE DR STE 102",
"city": "CARY",
"state": "NC",
"postal_code": "275138433",
"telephone_number": "919-297-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17070 RED OAK DR STE 303",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902616",
"telephone_number": "919-297-2930",
"fax_number": "877-630-9339"
}
],
"practiceLocations": [
{
"address_1": "130 Preston Executive Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275138433",
"country_code": "US",
"telephone_number": "919-297-2930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PIEDMONT BEHAVIORAL SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-03",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A",
"authorized_official_last_name": "RASUL",
"authorized_official_first_name": "IJAZ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-622-5652",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2012-01584",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5922235",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.