Organization Active NPI

Piedmont Behavioral Services, PC

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1225451776
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2012-01584 Issued in NC
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

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Ijaz Rasul, MDNPI 1770719551
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5922235MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150304001706 NC Part B Supplier - Clinic/Group Practice 1850617176 Receives reassigned benefits from 1 practitioner
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.