NPIMap

Organization Active NPI

Psychiatric Consultants LLC

  • Prescribing (Medical) Psychologist
  • Shrewsbury, MA
National Provider Identifier
1154637486
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
47643 Issued in MA
Legal business name
PSYCHIATRIC CONSULTANTS LLC
Practice address
18 Independence LN
Shrewsbury, MA 01545-6242
Phone
(508) 329-7895
Fax
(508) 872-6330
NPI assigned
Aug 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Dr. Andreas Laddis, M.D.NPI 1821011966
Title
Owner
Phone
(508) 320-7895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X 47643 MA Primary

Addresses

Primary practice location

18 Independence LN
Shrewsbury, MA 01545-6242

Mailing address

18 Independence LN
Shrewsbury, MA 01545-6242
Phone (508) 329-7895

Other identifiers 1

IdentifierTypeStateIssuer
B99333MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1154637486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 INDEPENDENCE LN",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456242",
            "telephone_number": "508-329-7895",
            "fax_number": "508-872-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 INDEPENDENCE LN",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456242",
            "telephone_number": "508-329-7895",
            "fax_number": "508-872-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "LADDIS",
        "authorized_official_first_name": "ANDREAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-320-7895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "MA",
            "license": "47643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B99333",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.