Bay Area Psychiatric Group

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A98212 Issued in CA

Legal business name

BAY AREA PSYCHIATRIC GROUP

Practice address

5674 Stoneridge Dr Ste 116
Pleasanton, CA 94588-8536

Phone

(925) 463-5674

NPI assigned

Oct 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mohsin R Khalique, MD

Title

Owner

Phone

(925) 463-5674

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1487907770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5674 STONERIDGE DR STE 116",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888536",
            "telephone_number": "925-463-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5674 STONERIDGE DR STE 116",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888536",
            "telephone_number": "925-463-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA PSYCHIATRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "KHALIQUE",
        "authorized_official_first_name": "MOHSIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-463-5674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A98212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Pleasanton, CA
• Providers in Pleasanton, 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, 2012; 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.