Psychiatric Practice,LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

36004 Issued in TN

Legal business name

PSYCHIATRIC PRACTICE,LLC

Practice address

6144 Cumberland Gap Pkway
Suite 1
Harrogate, TN 37752

Phone

(423) 869-0383

Fax

(423) 869-4587

NPI assigned

Dec 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bilal Ahmed, M.D.

Title

Member

Phone

(423) 869-0383

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003975392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 CUMBERLAND GAP PKWAY",
            "address_2": "SUITE 1",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "37752",
            "telephone_number": "423-869-0383",
            "fax_number": "423-869-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 CUMBERLAND GAP PKWAY",
            "address_2": "SUITE 1",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "37752",
            "telephone_number": "423-869-0383",
            "fax_number": "423-869-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC PRACTICE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "BILAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "423-869-0383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "36004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Harrogate, TN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.