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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: August 16, 2026.

About Psimed Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PSIMED PA (NPI 1366613663) is a healthcare organization registered as a psychiatry in Clemmons, North Carolina and active in the NPI registry since March 2008. The organization lists Jason Malcolm Crandell, President, as its authorized official.

NPPES Registry Identity

NPI1366613663
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePSIMED PA
Location Address2511-D NEUDORF RDClemmons, NC 27012
Mailing AddressPo Box 1741Clemmons, NC 27012 · (336) 778-0506 · Fax (336) 778-0570
Phone(336) 778-0506
Fax(336) 778-0570
Organization SubpartNo
Authorized OfficialJason Malcolm CrandellPresident · (336) 918-4882
Enumeration DateMarch 14, 2008
✔ NPI 1366613663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 23500
Definition
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.
2511-D NEUDORF RD, Clemmons, NC 27012
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Other Identifiers 1

Medicare PIN202339D

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Psimed PA's NPI number?

The NPI number for Psimed PA is 1366613663. It was assigned to this organization in the NPPES registry on March 14, 2008.

Where is Psimed PA located?

Psimed PA is located at 2511-D Neudorf Rd, Clemmons, NC 27012. The listed phone number is (336) 778-0506.

What is Psimed PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Psimed PA was last updated on March 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.