Provider Demographics
NPI:1982788154
Name:NEENA I. PATEL M. D. PSYCHAITRY
Entity Type:Organization
Organization Name:NEENA I. PATEL M. D. PSYCHAITRY
Other - Org Name:NEENA I. PATEL M. D. PSYCHAITRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:NEENA
Authorized Official - Middle Name:I
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:805-584-2191
Mailing Address - Street 1:2925 SYCAMORE DR
Mailing Address - Street 2:302-A
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1207
Mailing Address - Country:US
Mailing Address - Phone:805-584-2191
Mailing Address - Fax:805-584-2192
Practice Address - Street 1:2925 SYCAMORE DR
Practice Address - Street 2:302-A
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1207
Practice Address - Country:US
Practice Address - Phone:805-584-2191
Practice Address - Fax:805-584-2192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA41019101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty