Organization Active NPI

Mountain View Psychiatry and TMS

  • Psychiatry Physician
  • Mountain View, CA
National Provider Identifier
1396112058
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C50631 Issued in CA
Legal business name
MOUNTAIN VIEW PSYCHIATRY AND TMS
Practice address
2500 Hospital Dr Ste 3a
Mountain View, CA 94040-4109
Phone
(650) 696-6772
NPI assigned
Aug 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Dr. Zahida Tayyib, M.D.NPI 1144251315
Title
Ceo
Phone
(650) 468-1139

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 C50631 CA Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X C50631 CA

Addresses

Primary practice location

2500 Hospital Dr Ste 3a
Mountain View, CA 94040-4109

Mailing address

2500 Hospital Dr Ste 3a
Mountain View, CA 94040-4109
Phone (650) 696-6772

Other identifiers 1

IdentifierTypeStateIssuer
1144251315OtherNATIONAL PROVIDER NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160120001715 CA Part B Supplier - Clinic/Group Practice 5991008294 Receives reassigned benefits from 1 practitioner
Practice locations: Mountain View, CA

National Provider Directory

National Provider Directory

Locations

2500 Hospital Dr
Ste 3A
Mountain View, CA 94040
Phone (650) 696-6772

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": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1396112058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR STE 3A",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404109",
            "telephone_number": "650-696-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR STE 3A",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404109",
            "telephone_number": "650-696-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW PSYCHIATRY AND TMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "TAYYIB",
        "authorized_official_first_name": "ZAHIDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-468-1139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C50631",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "C50631",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER NPI",
            "identifier": "1144251315",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.