Organization · Type 2 NPI
Cardinal Wellness, Inc.
Child & Adolescent Psychiatry Physician · Campbell, CA
NPI number
1114284817
Active
Practice location
1875 S. Bascom Avenue, Suite 2400
Campbell, CA 95008-2356
Fax (408) 331-3211
Mailing address
1875 S Bascom Ave, Suite 2400
Campbell, CA 95008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | A96450 (CA) |
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | A96450 (CA) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Other child & adolescent psychiatry physician providers in Campbell
About NPI 1114284817
Cardinal Wellness, Inc.'s National Provider Identifier is 1114284817, issued on Apr 18, 2012. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Campbell, CA. The record was last updated on May 1, 2026.