Provider Demographics
NPI:1568898336
Name:POSITIVE MIND PSYCHIATRY
Entity Type:Organization
Organization Name:POSITIVE MIND PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FARIDA
Authorized Official - Middle Name:ZAKIR
Authorized Official - Last Name:RASSIWALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-361-1922
Mailing Address - Street 1:4100 S LINDSAY RD, STE 124 BLD #6
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297
Mailing Address - Country:US
Mailing Address - Phone:917-968-8695
Mailing Address - Fax:480-361-1922
Practice Address - Street 1:4100 S LINDSAY RD, STE 124 BLD #6
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297
Practice Address - Country:US
Practice Address - Phone:917-968-8695
Practice Address - Fax:480-361-1922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-24
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2084P0800X
AZ44462261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty