Active NPI
Arun Vasudev Parikh, MD
- Psychiatry Physician
- West Bend, WI
National Provider Identifier
1306920905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 23373020
- Practice address
- 1626 Clarence CT
Genesis Behavioral Services
West Bend, WI 53095-8533 - Phone
- (262) 338-8611
- Fax
- (262) 338-3367
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 23373020 | WI | Primary |
Addresses
Primary practice location
1626 Clarence CT
Genesis Behavioral Services
West Bend, WI 53095-8533
Mailing address
1626 Clarence CT
Genesis Behavioral Services
West Bend, WI 53095-8533
Phone (262) 338-8611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1977818 | Other | ECFMG CERTIFICATE NUMBER | |
| 30347500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23373020 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Dodge | Past | Accepting new patients | |
| Racine Psychological Services, Inc. | Past | Accepting new patients | |
| County of Dodge | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Juneau, WI
- NPI 1811102049
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Juneau, WI
- NPI 1871508515
-
- Adult Mental Health Clinic/Center
- Racine, WI
- NPI 1275586323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1306920905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 CLARENCE CT",
"address_2": "GENESIS BEHAVIORAL SERVICES",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530958533",
"telephone_number": "262-338-8611",
"fax_number": "262-338-3367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 CLARENCE CT",
"address_2": "GENESIS BEHAVIORAL SERVICES",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530958533",
"telephone_number": "262-338-8611",
"fax_number": "262-338-3367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARIKH",
"first_name": "ARUN",
"middle_name": "VASUDEV",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "23373020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECFMG CERTIFICATE NUMBER",
"identifier": "1977818",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30347500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.