Provider Demographics
NPI:1043724339
Name:SUPERIOR TMS CENTER
Entity Type:Organization
Organization Name:SUPERIOR TMS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MESHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-290-9867
Mailing Address - Street 1:20351 IRVINE AVE STE C4
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-0236
Mailing Address - Country:US
Mailing Address - Phone:949-290-9867
Mailing Address - Fax:
Practice Address - Street 1:20351 IRVINE AVE STE C4
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-0236
Practice Address - Country:US
Practice Address - Phone:949-290-9867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-22
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty