Williamson Psychiatric Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

18736 Issued in WV

Legal business name

WILLIAMSON PSYCHIATRIC SERVICES

Practice address

215 Logan St
Suite 21
Williamson, WV 25661-3600

Phone

(304) 235-5556

Fax

(304) 235-5557

NPI assigned

Jul 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Shivkumar Lakshminarayan Iyer, M.D.

Title

Owner/Provider

Phone

(304) 235-5556

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1043566854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 LOGAN ST",
            "address_2": "SUITE 21",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613600",
            "telephone_number": "304-235-5556",
            "fax_number": "304-235-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LOGAN ST",
            "address_2": "SUITE 21",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613600",
            "telephone_number": "304-235-5556",
            "fax_number": "304-235-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSON PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "IYER",
        "authorized_official_first_name": "SHIVKUMAR",
        "authorized_official_middle_name": "LAKSHMINARAYAN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "304-235-5556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "18736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williamson Memorial Hospital LLC
• Williamson Memorial Hospital LLC
• Williamson Memorial, Inc.
• Williamson Memorial, Inc.
• Williamson Physical Therapy, LLC
• Williamson Treatment Center, LLC
• Williamson Treatment Center, LLC
• Williamson Treatment Center, LLC
• Geri Williamson
• Roger Williamson

• Psychiatry Physician in Williamson, WV
• Providers in Williamson, WV by specialty
• Psychiatry Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.