Organization Active NPI

Advanced & Neuro-Interventional Psychiatry Inc

  • Psychiatry Physician
  • Redding, CA
National Provider Identifier
1811728405
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ADVANCED & NEURO-INTERVENTIONAL PSYCHIATRY INC
Practice address
201 Hartnell Ave
Redding, CA 96002-1843
Phone
(530) 212-0073
Fax
(844) 440-2311
NPI assigned
Aug 13, 2024
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Imran Aziz Khan, MDNPI 1861514531
Title
Owner
Phone
(530) 906-4238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

201 Hartnell Ave
Redding, CA 96002-1843

Mailing address

PO Box 990208
Redding, CA 96099-0208
Phone (530) 212-0073

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1811728405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990208",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960990208",
            "telephone_number": "530-212-0073",
            "fax_number": "844-440-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021843",
            "telephone_number": "530-212-0073",
            "fax_number": "844-440-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED & NEURO-INTERVENTIONAL PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_middle_name": "AZIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-906-4238",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.