Premium Psychiatric Care Nursing -PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PREMIUM PSYCHIATRIC CARE NURSING -PC

Practice address

4695 Chabot Dr Ste 200
Pleasanton, CA 94588-2756

Phone

(925) 261-7728

Fax

(925) 420-8625

NPI assigned

Aug 10, 2024

Organization subpart

No

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

Authorized official

Name

Abibat Biodun Ajiboye, NPNPI 1295209047

Title

Ceo

Phone

(925) 261-7728

Specialties & licenses 1

Addresses

Other names 2

• New Harbor Behavioral Health Doing business as
• Premium Psychiatric Care Nursing -PC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abibat Biodun Ajiboye, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pleasanton, CA
  • NPI 1295209047
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1245061340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 CHABOT DR STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882756",
            "telephone_number": "925-261-7728",
            "fax_number": "925-420-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 CHABOT DR STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882756",
            "telephone_number": "925-261-7728",
            "fax_number": "925-420-8625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Delta Fair Blvd Ste 201E",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945094073",
            "country_code": "US",
            "telephone_number": "925-261-7728",
            "fax_number": "925-420-8625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIUM PSYCHIATRIC CARE NURSING -PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-10",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "AJIBOYE",
        "authorized_official_first_name": "ABIBAT",
        "authorized_official_middle_name": "BIODUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-261-7728",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Harbor Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premium Psychiatric Care Nursing -PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.