NPIMap

Organization Active NPI

Psychiatric Center LLC

  • Psychiatry Physician
  • Lake Charles, LA
National Provider Identifier
1104156967
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PSYCHIATRIC CENTER LLC
Practice address
324 W Hale St
Lake Charles, LA 70601-8439
Phone
(337) 433-9177
Fax
(337) 433-9173
NPI assigned
Dec 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Dr. Ehtesham U Syed, MD
Title
Owner
Phone
(337) 433-9177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

324 W Hale St
Lake Charles, LA 70601-8439

Mailing address

324 W Hale St
Lake Charles, LA 70601-8439
Phone (337) 433-9177

Other identifiers 1

IdentifierTypeStateIssuer
1823694MedicaidLA

National Provider Directory

National Provider Directory

Locations

324 W Hale St
Lake Charles, LA 70601
Phone (337) 433-9177

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1104156967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W HALE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018439",
            "telephone_number": "337-433-9177",
            "fax_number": "337-433-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W HALE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018439",
            "telephone_number": "337-433-9177",
            "fax_number": "337-433-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "EHTESHAM",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-433-9177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1823694",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.