Vista Behavioral Health Medicine PLLC

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

Legal business name

VISTA BEHAVIORAL HEALTH MEDICINE PLLC

Practice address

4245 Lakeville Rd
Suite 4a
Geneseo, NY 14454

Phone

(585) 245-8640

NPI assigned

May 3, 2007

Last updated

Jan 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Muhammad A Ali, MD

Title

Owner

Phone

(585) 245-8640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1770705188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 LAKEVILLE RD",
            "address_2": "SUITE 4A",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "14454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 LAKEVILLE RD",
            "address_2": "SUITE 4A",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "14454",
            "telephone_number": "585-245-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA BEHAVIORAL HEALTH MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-245-8640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University Orthopaedic Associates of Rochester
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• Gabor Varga, LPN
• Village of Geneseo
• Derek Wadsworth
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• Karin Marie Wallin, COTA
• Thomas Julian Wright Walters, MD

• Psychosomatic Medicine Physician in Geneseo, NY
• Providers in Geneseo, NY by specialty
• Psychosomatic Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.