Precise Psychopharmacology LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

17834 Issued in MS

Legal business name

PRECISE PSYCHOPHARMACOLOGY LLC

Practice address

3531 Lakeland Dr
Suite 1060
Flowood, MS 39232-8049

Phone

(601) 420-5810

Fax

(601) 420-5811

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joseph A Kwentus, M.D.

Title

Owner

Phone

(601) 420-5810

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Precise Psychopharmacology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Precise Psychopharmacology LLC

  • Psychiatry Physician
  • Flowood, MS
  • NPI 1407053051
  NPD tax ID

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1184862708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 LAKELAND DR",
            "address_2": "SUITE 1060",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328049",
            "telephone_number": "601-420-5810",
            "fax_number": "601-420-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 LAKELAND DR",
            "address_2": "SUITE 1060",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328049",
            "telephone_number": "601-420-5810",
            "fax_number": "601-420-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE PSYCHOPHARMACOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "KWENTUS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-420-5810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "17834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02523719",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manisha Shrestha Pradhan, DMD
• Allie Prater, CCC-SLP
• Pre-Hab, LLC
• Precious Images Ultrasound, LLC
• Precise Clinical Neuroscience Specialists
• Precise Psychopharmacology LLC
• Precision Optical Dispensary, Inc
• Precision Ultrasound Imaging Inc.
• Premium Health Services, Inc
• Prescribed Pediatric Extended Care, Inc

• Psychiatry Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.