Provider Demographics
NPI:1821754151
Name:ACCESSIBLE MENTAL HEALTH CARE GROUP
Entity Type:Organization
Organization Name:ACCESSIBLE MENTAL HEALTH CARE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ISH
Authorized Official - Middle Name:PRASAD
Authorized Official - Last Name:BHALLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-944-9685
Mailing Address - Street 1:2711 ALCATRAZ AVE
Mailing Address - Street 2:
Mailing Address - City:SUITE 4
Mailing Address - State:CA
Mailing Address - Zip Code:94705
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2711 ALCATRAZ AVE
Practice Address - Street 2:
Practice Address - City:SUITE 4
Practice Address - State:CA
Practice Address - Zip Code:94705
Practice Address - Country:US
Practice Address - Phone:415-944-9685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health