Organization Active NPI

Sidd Family Psychiatric PLLC

  • Psychiatry Physician
  • Brentwood, TN
National Provider Identifier
1124227202
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
42245 Issued in TN
Legal business name
SIDD FAMILY PSYCHIATRIC PLLC
Practice address
1550 Shining Ore Dr
Brentwood, TN 37027-2218
Phone
(615) 776-1250
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Faisal I Siddiqui, MD
Title
Owner
Phone
(615) 776-1250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 42245 TN Primary

Addresses

Primary practice location

1550 Shining Ore Dr
Brentwood, TN 37027-2218

Mailing address

1550 Shining Ore Dr
Brentwood, TN 37027-2218
Phone (615) 776-1250

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1124227202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 SHINING ORE DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272218",
            "telephone_number": "615-776-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SHINING ORE DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272218",
            "telephone_number": "615-776-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDD FAMILY PSYCHIATRIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-776-1250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "42245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.