South Central General and Geriatric Psychiatry PC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

SOUTH CENTRAL GENERAL AND GERIATRIC PSYCHIATRY PC

Practice address

8651 Jaffa Court East Dr Apt 11
Indianapolis, IN 46260-5329

Phone

(317) 414-7372

Fax

(502) 415-7468

NPI assigned

Jul 29, 2014

Last updated

Apr 13, 2016By 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

Arthur Lyakhovetsky, MDNPI 1124097142

Title

President

Phone

(317) 414-7372

Specialties & licenses 1

Addresses

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.

• Arthur Lyakhovetsky, MD

  • Geriatric Psychiatry Physician
  • Hollywood, FL
  • NPI 1124097142
  NPD (past) Authorized official

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1245648617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WASHINGTON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330191812",
            "telephone_number": "317-414-7372",
            "fax_number": "502-415-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8651 JAFFA COURT EAST DR APT 11",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605329",
            "telephone_number": "317-414-7372",
            "fax_number": "502-415-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL GENERAL AND GERIATRIC PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "LYAKHOVETSKY",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-414-7372",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Psychiatry Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Geriatric Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.