Provider Demographics
NPI:1457829731
Name:ALLIED PSYCHIATRY AND MENTAL HEALTH
Entity Type:Organization
Organization Name:ALLIED PSYCHIATRY AND MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HADI
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTAKHRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-314-4552
Mailing Address - Street 1:1401 DOVE ST STE 420
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2420
Mailing Address - Country:US
Mailing Address - Phone:949-945-0927
Mailing Address - Fax:
Practice Address - Street 1:1401 DOVE ST STE 420
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2420
Practice Address - Country:US
Practice Address - Phone:949-945-0927
Practice Address - Fax:949-269-6263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-05
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty