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PROFESSIONAL PSYCHIATRIC SERVICES, LLC
NPI 1407166077
Psychiatry & Neurology - Psychiatry in Fort Wayne, IN

Active since October 18, 2010
6203 CONSTITUTION DR, FORT WAYNE, IN 46804(260) 969-9696(260) 969-7979 Get Directions Write a Review

NPPES record last updated: February 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Psychiatric Services, Llc NPPES

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

PROFESSIONAL PSYCHIATRIC SERVICES, LLC (NPI 1407166077) is a healthcare organization registered as a psychiatry in Fort Wayne, Indiana and active in the NPI registry since October 2010. The organization lists S. Christopher Shim, President, as its authorized official.

NPPES Registry Identity

NPI1407166077
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePROFESSIONAL PSYCHIATRIC SERVICES, LLC
Location Address6203 CONSTITUTION DRFort Wayne, IN 46804-1517
Mailing Address11012 W Sycamore Hills DrFort Wayne, IN 46814-9308 · (260) 969-9696 · Fax (260) 969-7979
Phone(260) 969-9696
Fax(260) 969-7979
Organization SubpartNo
Authorized OfficialS. Christopher ShimPresident · (260) 615-1216
Enumeration DateOctober 18, 2010
Last NPPES UpdateFebruary 1, 2013
✔ NPI 1407166077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
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.
6203 CONSTITUTION DR, Fort Wayne, IN 46804
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFELINE HOME HEALTHCARE LLC
Home Health
6203 CONSTITUTION DR
FORT WAYNE, IN 46804
Allen County (260) 443-5102

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 Professional Psychiatric Services, LLC's NPI number?

The NPI number for Professional Psychiatric Services, LLC is 1407166077. It was assigned to this organization in the NPPES registry on October 18, 2010.

Where is Professional Psychiatric Services, LLC located?

Professional Psychiatric Services, LLC is located at 6203 Constitution Dr, Fort Wayne, IN 46804. The listed phone number is (260) 969-9696.

What is Professional Psychiatric Services, LLC'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 Professional Psychiatric Services, LLC was last updated on February 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.