Active NPI
Syed U. Farooq
- Addiction (Substance Use Disorder) Psychologist
- Brentwood, CA
National Provider Identifier
1649492356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- Practice address
- 9100 Brentwood Blvd
Brentwood, CA 94513-4000 - Phone
- (925) 809-7920
- Fax
- (925) 809-7928
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | Primary |
Addresses
Primary practice location
9100 Brentwood Blvd
Brentwood, CA 94513-4000
Mailing address
9100 Brentwood Blvd
Brentwood, CA 94513-4000
Phone (925) 809-7920
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070024AN | Other | CA | STATE CERT-ANTIOCH |
| 070024BN | Other | CA | STATE CERT - BRENTWOOD |
| 56679 | Other | CA | STAFF ID NUMBER |
| 0753 | Other | CA | DRUG MEDI-CAL BILLING NO |
| 07551 | Other | CA | BRENTWOOD ADULT BILLING |
| 07556 | Other | CA | BYRON RANCH BILLING |
| 07555 | Other | CA | DRUG CT BILLING |
| 070753 | Other | CA | MASTER PROVIDER FILE NO |
| 07531 | Other | CA | ANTIOCH ADULT BILLING |
| 07533 | Other | CA | ANTIOCH ADOL BILLING |
| 07553 | Other | CA | BRENTWOOD ADOL BILLING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649492356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 BRENTWOOD BLVD",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945134000",
"telephone_number": "925-809-7920",
"fax_number": "925-809-7928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 BRENTWOOD BLVD",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945134000",
"telephone_number": "925-809-7920",
"fax_number": "925-809-7928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAROOQ",
"first_name": "SYED",
"middle_name": "U.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CERT-ANTIOCH",
"identifier": "070024AN",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CERT - BRENTWOOD",
"identifier": "070024BN",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAFF ID NUMBER",
"identifier": "56679",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRUG MEDI-CAL BILLING NO",
"identifier": "0753",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRENTWOOD ADULT BILLING",
"identifier": "07551",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BYRON RANCH BILLING",
"identifier": "07556",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRUG CT BILLING",
"identifier": "07555",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASTER PROVIDER FILE NO",
"identifier": "070753",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTIOCH ADULT BILLING",
"identifier": "07531",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTIOCH ADOL BILLING",
"identifier": "07533",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRENTWOOD ADOL BILLING",
"identifier": "07553",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.