Bansal Psychiatric Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BANSAL PSYCHIATRIC INC

Practice address

4160 Suisun Valley Rd Ste E653
Fairfield, CA 94534-4016

Phone

(925) 331-8911

Fax

(425) 249-3077

NPI assigned

Sep 23, 2022

Organization subpart

No

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

Authorized official

Name

Raghunath Bansal, MD

Title

Owner/President

Phone

(925) 331-8911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1780307769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 SUISUN VALLEY RD STE E653",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945344016",
            "telephone_number": "925-331-8911",
            "fax_number": "425-249-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 SUISUN VALLEY RD STE E653",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945344016",
            "telephone_number": "925-331-8911",
            "fax_number": "425-249-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANSAL PSYCHIATRIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "RAGHUNATH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "925-331-8911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mae Anne Segovia Banana
• Min Woo Bang, PHARM. D.
• Shonda Nicole Banks Williams
• Faith Banks
• Nichelle Banks
• Nicholas Banut
• Ismail Banyingela
• Mignonette Peralta Baraceros
• Jasmin Barahona
• Joel Barajas Jr.

• Mental Health Counselor in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.