Provider Demographics
NPI:1114595907
Name:SUNNYVALE PSYCHIATRY, P.C.
Entity Type:Organization
Organization Name:SUNNYVALE PSYCHIATRY, P.C.
Other - Org Name:SUNNYVALE PSYCHIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MA
Authorized Official - Phone:650-380-3823
Mailing Address - Street 1:121 W WASHINGTON AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-1101
Mailing Address - Country:US
Mailing Address - Phone:650-380-3823
Mailing Address - Fax:833-654-0705
Practice Address - Street 1:121 W WASHINGTON AVE STE 212
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-1101
Practice Address - Country:US
Practice Address - Phone:650-380-3823
Practice Address - Fax:833-654-0705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty