Andrew Janik, M.D., Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G25917 Issued in CA

Legal business name

ANDREW JANIK, M.D., INC

Practice address

41750 Rancho Las Palmas Dr
Suite C3
Rancho Mirage, CA 92270-5511

Phone

(760) 776-4770

Fax

(760) 776-4772

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Andrew Stephen Janik, M.D.NPI 1992777098

Title

President

Phone

(760) 776-4770

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Stephen Janik, M.D.

  • Psychiatry Physician
  • Rancho Mirage, CA
  • NPI 1992777098
  NPD (past) Authorized official
• Alice King Janik, L.M.F.T.

  • Marriage & Family Therapist
  • Rancho Mirage, CA
  • NPI 1225000128
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1447439658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41750 RANCHO LAS PALMAS DR",
            "address_2": "SUITE C3",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705511",
            "telephone_number": "760-776-4770",
            "fax_number": "760-776-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41750 RANCHO LAS PALMAS DR",
            "address_2": "SUITE C3",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705511",
            "telephone_number": "760-776-4770",
            "fax_number": "760-776-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW JANIK, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "JANIK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-776-4770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC31001",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G25917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225000128",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992777098",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.