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JETTY PSYCHIATRIC SERVICES LLC
NPI 1750576815
Psychiatry & Neurology - Geriatric Psychiatry in Birmingham, AL

Active since September 12, 2007
401 TUSCALOOSA AVE SW, SUITE 110, BIRMINGHAM, AL 35211(205) 785-2000(205) 785-2945 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jetty Psychiatric Services Llc NPPES

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

JETTY PSYCHIATRIC SERVICES LLC (NPI 1750576815) is a healthcare organization registered as a geriatric psychiatry in Birmingham, Alabama and active in the NPI registry since September 2007. The organization lists Praveen Jetty, Owner/m.d., as its authorized official.

NPPES Registry Identity

NPI1750576815
Entity TypeOrganization
Primary Taxonomy2084P0805X
Legal Business NameJETTY PSYCHIATRIC SERVICES LLC
Location Address401 TUSCALOOSA AVE SW, SUITE 110Birmingham, AL 35211-1416
Mailing AddressPo Box 382664Birmingham, AL 35238-2664 · (205) 785-2000 · Fax (205) 785-2954
Phone(205) 785-2000
Fax(205) 785-2945
Organization SubpartNo
Authorized OfficialPraveen JettyOwner/m.d. · (205) 785-2000
Enumeration DateSeptember 12, 2007
✔ NPI 1750576815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
401 TUSCALOOSA AVE SW, Birmingham, AL 35211
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Other Identifiers 1

Medicare UPING77250AL

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 9

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

GEORGE C. PITTS, M.D., P.C.
Specialist
401 TUSCALOOSA AVE SW, SUITE 220
BIRMINGHAM, AL 35211
Jefferson County (205) 781-3820
GEORGE R MCWHORTER, M.D., PC
Internal Medicine (Gastroenterology)
401 TUSCALOOSA AVE SW, SUITE 220
BIRMINGHAM, AL 35211
Jefferson County (205) 788-2242
T. COOPER COLQUITT, DDS, MSD, PC
Dentist (Periodontics)
401 TUSCALOOSA AVE SW, SUITE 210
BIRMINGHAM, AL 35211
Jefferson County (205) 785-7901
COMPREHENSIVE MEDICAL EYE OPHTHALMIC CARE
Ophthalmology
401 TUSCALOOSA AVE SW, SUITE 200
BIRMINGHAM, AL 35211
Jefferson County (205) 999-2635
QUALITY PHYSICAL THERAPY CARE, LLC
Clinic/Center (Physical Therapy)
401 TUSCALOOSA AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 253-4983
DR. GEORGE RALPH MCWHORTER M.D.
Internal Medicine (Gastroenterology)
401 TUSCALOOSA AVE SW, SUITE 220
BIRMINGHAM, AL 35211
Jefferson County (205) 788-2242
LEE SHEFTON RIGGINS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
401 TUSCALOOSA AVE SW, SUITE D-210
BIRMINGHAM, AL 35211
Jefferson County (205) 780-8980
L S RIGGINS, M.D. P.C.
Specialist
401 TUSCALOOSA AVE SW, SUITE D210
BIRMINGHAM, AL 35211
Jefferson County (205) 780-8980

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 Jetty Psychiatric Services LLC's NPI number?

The NPI number for Jetty Psychiatric Services LLC is 1750576815. It was assigned to this organization in the NPPES registry on September 12, 2007.

Where is Jetty Psychiatric Services LLC located?

Jetty Psychiatric Services LLC is located at 401 Tuscaloosa Ave SW Suite 110, Birmingham, AL 35211. The listed phone number is (205) 785-2000.

What is Jetty Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

When was this NPI record last updated?

The NPPES record for Jetty Psychiatric Services LLC was last updated on September 12, 2007. 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.