| Greenbrooktms | |
|
29800 Agoura Rd Ste 200 Agoura Hills CA 91301-2560 | |
| (416) 915-9100 | |
| Not Available |
| Full Name | Greenbrooktms |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 29800 Agoura Rd Ste 200, Agoura Hills, California |
| Authorized Official Name and Position | Shashita R Inamdar (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8584275060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenbrooktms Po Box 601422 San Diego CA 92160-1422 Ph: (858) 427-5060 | Greenbrooktms 29800 Agoura Rd Ste 200 Agoura Hills CA 91301-2560 Ph: (416) 915-9100 |
| NPI Number | 1326598244 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Medicare PECOS PAC ID | 1254605140 |
|---|---|
| Medicare Enrollment ID | O20170915000702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326598244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sana Louise Johnson-quijada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194882860 PECOS PAC ID: 2365348240 Enrollment ID: I20031210001099 |
| Provider Name | Daljit S Mac |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871500363 PECOS PAC ID: 7214989508 Enrollment ID: I20050215000594 |
| Provider Name | Harinder Grewal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114041712 PECOS PAC ID: 7214983741 Enrollment ID: I20050328000511 |
| Provider Name | Percival J Baldrias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831399740 PECOS PAC ID: 8628163599 Enrollment ID: I20071008000176 |
| Provider Name | Manish V Sheth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225083272 PECOS PAC ID: 8527971951 Enrollment ID: I20100107000542 |
| Provider Name | Mary Margaret Ewing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073652004 PECOS PAC ID: 9739375346 Enrollment ID: I20101122000902 |
| Provider Name | Robert A Zalewski-zaragoza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720054133 PECOS PAC ID: 0345422044 Enrollment ID: I20110316000315 |
| Provider Name | Heather M Kurera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144228396 PECOS PAC ID: 1355523036 Enrollment ID: I20110317000163 |
| Provider Name | Ruchira S Densert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538148697 PECOS PAC ID: 4587947262 Enrollment ID: I20170214002476 |
| Provider Name | Brandon Michael Niemeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255622338 PECOS PAC ID: 8921253584 Enrollment ID: I20190617000289 |
| Provider Name | Chaitanya Pabbati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710237391 PECOS PAC ID: 4789097148 Enrollment ID: I20210105000461 |
| Provider Name | Joy Melanie Loretta Melhado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225793003 PECOS PAC ID: 8729474440 Enrollment ID: I20220406001284 |
| Provider Name | Helen Vafaie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003805458 PECOS PAC ID: 5698741320 Enrollment ID: I20220505001831 |
| Provider Name | Zachary David Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851962716 PECOS PAC ID: 0446639454 Enrollment ID: I20220622002203 |
| Provider Name | Ravinder Kaur Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194400598 PECOS PAC ID: 1557723079 Enrollment ID: I20230816000940 |
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