NPIMap

Organization Active NPI

Psychserv Medical Corporation

  • Psychiatry Physician
  • Corte Madera, CA
National Provider Identifier
1316154172
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PSYCHSERV MEDICAL CORPORATION
Practice address
520 Tamalpais Dr
Suite 100
Corte Madera, CA 94925-1558
Phone
(415) 927-4421
Fax
(415) 464-8774
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Dr. Nathan J. Zilberg, PH.D.NPI 1275740110
Title
Chairman
Phone
(415) 927-4421

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

520 Tamalpais Dr
Suite 100
Corte Madera, CA 94925-1558

Mailing address

520 Tamalpais Dr
Suite 100
Corte Madera, CA 94925-1558
Phone (415) 927-4421

National Provider Directory

National Provider Directory

Locations

520 Tamalpais Dr
Ste 100
Corte Madera, CA 94925
Phone (415) 927-4421

Practitioners & affiliated clinicians

Practitioners 2

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1316154172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 TAMALPAIS DR",
            "address_2": "SUITE 100",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251558",
            "telephone_number": "415-927-4421",
            "fax_number": "415-464-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 TAMALPAIS DR",
            "address_2": "SUITE 100",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251558",
            "telephone_number": "415-927-4421",
            "fax_number": "415-464-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHSERV MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "ZILBERG",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "415-927-4421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corte Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.