Organization Active NPI

Psychiatric Resilience and Wellness Company

  • Psychiatry Physician
  • Clovis, CA
National Provider Identifier
1265263446
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PSYCHIATRIC RESILIENCE AND WELLNESS COMPANY
Practice address
205 W Bullard Ave Ste 16
Clovis, CA 93612-7609
Phone
(203) 873-8591
NPI assigned
Aug 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Ashhar Bhurgri, MD
Title
Preseident
Phone
(203) 873-8591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

205 W Bullard Ave Ste 16
Clovis, CA 93612-7609

Mailing address

8604 Neopolitan Way
Elk Grove, CA 95758-9553
Phone (203) 873-8591

National Provider Directory

National Provider Directory

Locations

205 W Bullard Ave
Ste 16
Clovis, CA 93612
Phone (203) 873-8591

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1265263446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 NEOPOLITAN WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957589553",
            "telephone_number": "203-873-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W BULLARD AVE STE 16",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936127609",
            "telephone_number": "203-873-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC RESILIENCE AND WELLNESS COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "BHURGRI",
        "authorized_official_first_name": "ASHHAR",
        "authorized_official_title_or_position": "PRESEIDENT",
        "authorized_official_telephone_number": "203-873-8591",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.