Dr Hamdan Psychiatric Clinic PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

16335 Issued in MS

Legal business name

DR HAMDAN PSYCHIATRIC CLINIC PLLC

Practice address

1760 McClain St
Greenville, MS 38701-7647

Phone

(662) 332-8848

NPI assigned

Feb 24, 2009

Last updated

Sep 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy Palmer

Title

Administrator

Phone

(662) 332-8848

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khaled Nadim Abu-Hamdan, M. D.

  • Psychiatry Physician
  • Whitfield, MS
  • NPI 1356482459
  Medicare reassignment NPD

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1225278716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4577",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387044577",
            "telephone_number": "662-332-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 MCCLAIN ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017647",
            "telephone_number": "662-332-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HAMDAN PSYCHIATRIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-332-8848",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MS",
            "license": "16335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123298",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Dorman, R.N.
• Harry L Dorsey, DC
• Renia R Dotson, MD
• Douglas E Fleming LLC (Douglas Fleming LLC)
• David Grant Dowdy, DDS
• Dr Joseph R Terracina, MD, PA
• DRMC Robert Neal Suares Jr MD
• DRS Lenoir and Cirilli PA
• Ammar Dulli, M.D
• Robert Lee Duncan, D.M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Greenville, MS
• Providers in Greenville, MS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.