PSYCH PRACTICE LLC
NPI 1689060790
Community/Behavioral Health in Douglas, GA
- Organization
- Community/Behavioral Health
About PSYCH PRACTICE LLC
This page provides the complete NPI Profile along with additional information for Psych Practice Llc, a provider established in Douglas, Georgia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1689060790 assigned on April 2015. The practitioner's primary taxonomy code is 251S00000X with license number 054327 (GA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Mubbashir M Khan M.d (Ceo/ M.d)
- NPI
- 1689060790 Verify this NPI
- Provider Name
- PSYCH PRACTICE LLC
- Entity Type
- Organization
- Location Address
- 410 SHIRLEY AVE DOUGLAS, GA 31533
- Location Phone
- (912) 260-1206
- Location Fax
- (912) 383-7820
- Mailing Address
- 410 SHIRLEY AVE DOUGLAS, GA 31533
- Mailing Phone
- (912) 260-1206
- Mailing Fax
- (912) 383-7820
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-15-2015
- Last Update Date
- 04-15-2015
- Code Navigator
Location Map
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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 054327
- License State
- GA
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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.
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 |
|---|---|---|---|
| 003120037D | MEDICAID (05) | GA |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
DOUGLAS, GA 31533
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689060790, enumerated as an "organization" on April 15, 2015.
The provider is located at 410 SHIRLEY AVE DOUGLAS, GA 31533 and the phone number is (912) 260-1206.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
