PSIMED PA
NPI 1366613663
Psychiatry & Neurology - Psychiatry in Clemmons, NC

Active since March 14, 2008
2511-D NEUDORF RD, CLEMMONS, NC 27012(336) 778-0506(336) 778-0570 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Psychiatry & Neurology
  • Psychiatry

About PSIMED PA

This page provides the complete NPI Profile along with additional information for Psimed Pa, a provider established in Clemmons, North Carolina operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1366613663 assigned on March 2008. The practitioner's primary taxonomy code is 2084P0800X with license number 23500 (NC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Jason Malcolm Crandell Md (President)

NPI
1366613663 Verify this NPI
Provider Name
PSIMED PA
Entity Type
Organization
Location Address
2511-D NEUDORF RD CLEMMONS, NC 27012
Location Phone
(336) 778-0506
Location Fax
(336) 778-0570
Mailing Address
PO BOX 1741 CLEMMONS, NC 27012
Mailing Phone
(336) 778-0506
Mailing Fax
(336) 778-0570
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2008
Last Update Date
03-14-2008
Code Navigator

A psychiatrist like Psimed Pa are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
23500
License State
NC
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JASON MALCOLM CRANDELL MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(336) 918-4882

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
202339DMEDICARE PIN (08) 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366613663, enumerated as an "organization" on March 14, 2008.

The provider is located at 2511-D NEUDORF RD CLEMMONS, NC 27012 and the phone number is (336) 778-0506.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.