Provider Demographics
NPI:1477323954
Name:THERAPY BASED PSYCHIATRY PC
Entity Type:Organization
Organization Name:THERAPY BASED PSYCHIATRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:NAJAFIAN JAZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-889-0709
Mailing Address - Street 1:30101 AGOURA CT STE 204
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-4341
Mailing Address - Country:US
Mailing Address - Phone:805-889-0709
Mailing Address - Fax:562-261-1098
Practice Address - Street 1:30101 AGOURA CT STE 204
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-4341
Practice Address - Country:US
Practice Address - Phone:805-889-0709
Practice Address - Fax:562-261-1098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Multi-Specialty