Conf Psychiatric Services Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C54836 Issued in CA

Legal business name

CONF PSYCHIATRIC SERVICES INC

Practice address

655 Canyon Rd
Novato, CA 94947-4331

Phone

(415) 892-1628

NPI assigned

Apr 17, 2018

Organization subpart

No

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

Authorized official

Name

Neil Khanna, MD

Title

President

Phone

(310) 896-6267

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1437646296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 RANDOLPH ST # 6952",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945599894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 CANYON RD",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474331",
            "telephone_number": "415-892-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONF PSYCHIATRIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-896-6267",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C54836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Michael Collins, DPM
• Nicole Collins, AMFT
• Hanikkah Joy Colonia Diaz
• Michelle Marie Colvin
• David L. Conant, MD
• Sculla O. Conrad, C PED
• Lori Clair Conroy, MS
• Continuum Care of Marin, LLC
• Mary O'Malley Contreras
• Michael Craig Corder, DC

• Psychiatry Physician in Novato, CA
• Providers in Novato, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.