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PROVIDENCE PSYCHIATRIC SERVICES PLLC
NPI 1952913345
Psychiatry & Neurology - Psychiatry in Cordova, TN

Active since August 18, 2020
86 TIMBER CREEK DR STE 3, CORDOVA, TN 38018(901) 881-1500 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2020, Aug 18, 2020 (2 updates tracked since 2020).

About Providence Psychiatric Services Pllc NPPES

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

PROVIDENCE PSYCHIATRIC SERVICES PLLC (NPI 1952913345) is a healthcare organization registered as a psychiatry in Cordova, Tennessee and active in the NPI registry since August 2020. The organization lists Jason Fu Liusong, President, as its authorized official.

NPPES Registry Identity

NPI1952913345
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePROVIDENCE PSYCHIATRIC SERVICES PLLC
Location Address86 TIMBER CREEK DR STE 3Cordova, TN 38018-4284
Mailing Address86 Timber Creek Dr Ste 3Cordova, TN 38018-4284 · (901) 881-1500
Phone(901) 881-1500
Organization SubpartNo
Authorized OfficialJason Fu LiusongPresident · (901) 881-1500
Enumeration DateAugust 18, 2020
Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
✔ NPI 1952913345 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.
86 TIMBER CREEK DR STE 3, Cordova, TN 38018
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Psychiatric Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Providence Psychiatric Services PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Liusong Fu, M.D.
Psychiatry
NPI 1124286687
8130 COUNTRY VILLAGE DR
Cordova, TN 38016
(901) 308-2915
✔ PECOS2.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Providence Psychiatric Services PLLC's NPI number?

The NPI number for Providence Psychiatric Services PLLC is 1952913345. It was assigned to this organization in the NPPES registry on August 18, 2020.

Where is Providence Psychiatric Services PLLC located?

Providence Psychiatric Services PLLC is located at 86 Timber Creek Dr Ste 3, Cordova, TN 38018. The listed phone number is (901) 881-1500.

What is Providence Psychiatric Services PLLC's specialty?

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

Is Providence Psychiatric Services PLLC enrolled in Medicare?

Yes. Providence Psychiatric Services PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Psychiatric Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Providence Psychiatric Services PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Providence Psychiatric Services PLLC was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.