| Integrative Behavioral Health And Medicine | |
|
4546 El Camino Real Ste B7 Los Altos CA 94022-1069 | |
| (866) 362-4246 | |
| Not Available |
| Full Name | Integrative Behavioral Health And Medicine |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4546 El Camino Real Ste B7, Los Altos, California |
| Authorized Official Name and Position | Vidushi Savant (CEO) |
| Authorized Official Contact | 8663624246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Behavioral Health And Medicine 4546 El Camino Real Ste B7 Los Altos CA 94022-1069 Ph: (866) 362-4246 | Integrative Behavioral Health And Medicine 4546 El Camino Real Ste B7 Los Altos CA 94022-1069 Ph: (866) 362-4246 |
| NPI Number | 1548910151 |
|---|---|
| Provider Enumeration Date | 03/26/2022 |
| Last Update Date | 06/14/2024 |
| Medicare PECOS PAC ID | 4385021393 |
|---|---|
| Medicare Enrollment ID | O20220512002322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548910151 | NPI | - | NPPES |
| Provider Name | Laurence Howard Tecott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033221502 PECOS PAC ID: 7517931496 Enrollment ID: I20040825001063 |
| Provider Name | Howard H Fenn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396754743 PECOS PAC ID: 5092765784 Enrollment ID: I20050131000521 |
| Provider Name | Vidushi Savant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912233040 PECOS PAC ID: 5698090256 Enrollment ID: I20150220000838 |
| Provider Name | Joe Walker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427070754 PECOS PAC ID: 8325049786 Enrollment ID: I20150723009127 |
| Provider Name | Andrea Erika Ament |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013275262 PECOS PAC ID: 5890097737 Enrollment ID: I20160108000796 |
| Provider Name | Marita Keeling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316083223 PECOS PAC ID: 3577752377 Enrollment ID: I20170802000891 |
| Provider Name | Joseph Berman Burwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174960496 PECOS PAC ID: 6103129952 Enrollment ID: I20170803001605 |
| Provider Name | Richard Thomas Knowles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588914139 PECOS PAC ID: 7214202522 Enrollment ID: I20171011003200 |
| Provider Name | Alisa Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518319946 PECOS PAC ID: 1850632720 Enrollment ID: I20190403001834 |
| Provider Name | Kenrick B Licorish |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144759085 PECOS PAC ID: 9133457765 Enrollment ID: I20190821000760 |
| Provider Name | Shaudee Parvinjah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144683913 PECOS PAC ID: 0345598686 Enrollment ID: I20200130002523 |
| Provider Name | Yasha Rastgar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003270745 PECOS PAC ID: 8123311990 Enrollment ID: I20200421000750 |
| Provider Name | Tahia Haque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619330214 PECOS PAC ID: 5294089827 Enrollment ID: I20200428000971 |
| Provider Name | Parvathi Nanjundiah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093833352 PECOS PAC ID: 3072570308 Enrollment ID: I20220616000343 |
| Provider Name | Aimee L Mcarthur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194286575 PECOS PAC ID: 8325470081 Enrollment ID: I20230223000675 |
| Provider Name | Negar Haghighimehmandari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144710336 PECOS PAC ID: 6305227356 Enrollment ID: I20230922003651 |
| Provider Name | Swapnil Khurana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992052658 PECOS PAC ID: 0749583151 Enrollment ID: I20240226000336 |
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