Adam J Jarczewski Medical Doctor Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

A82540 Issued in CA

Legal business name

ADAM J JARCZEWSKI MEDICAL DOCTOR INC

Practice address

2055 Woodside Rd.,
Suite 155
Redwood City, CA 94061-3355

Phone

(650) 364-4200

Fax

(650) 364-4210

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Adam J. Jarczewski, M.D.NPI 1417068735

Title

President

Phone

(650) 521-6014

Specialties & licenses 1

Addresses

Other names 1

• Beyondstable Psychiatry & Integrative Care Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam January Jarczewski, MD

  • Psychiatry Physician
  • Anchorage, AK
  • NPI 1417068735
  NPD (past) Authorized official

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1932383577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 WOODSIDE RD.,",
            "address_2": "SUITE 155",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613355",
            "telephone_number": "650-364-4200",
            "fax_number": "650-364-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 WOODSIDE RD.,",
            "address_2": "SUITE 155",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613355",
            "telephone_number": "650-364-4200",
            "fax_number": "650-364-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM J JARCZEWSKI MEDICAL DOCTOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "JARCZEWSKI",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-521-6014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "A82540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyondstable Psychiatry & Integrative Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Devin Richard Aceret
• Camilla Aceves, BA
• Active Hearing Inc
• Active Life Medical Center
• Frank Adair, M.D.
• David Anthony Adams, M.D
• Denby Glenn Adamson, B.A.
• Ian Adamson
• Jennifer Susan Addleman-Jensen, DO
• Elahe Adibi, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.