Oleksandr Osipchuk MD PHD Psychiatric Services LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

45937 Issued in TN

Legal business name

OLEKSANDR OSIPCHUK MD PHD PSYCHIATRIC SERVICES LLC

Practice address

1424 W Baddour Pkwy
Suite C
Lebanon, TN 37087-2685

Phone

(615) 444-3836

NPI assigned

Jul 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Oleksandr Osipchuk, MD, PHDNPI 1700045416

Title

Owner

Phone

(615) 444-3836

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oleksandr Osipchuk, MD

  • Psychiatry Physician
  • Lebanon, TN
  • NPI 1700045416
  Medicare reassignment NPD Authorized official
• Mary Goodner, LCSW

  • Mental Health Counselor
  • Lebanon, TN
  • NPI 1598920803
  NPD (past)
• Leta Whited, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Franklin, KY
  • NPI 1881723732
  NPD (past)

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1295049492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 W BADDOUR PKWY",
            "address_2": "SUITE C",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872685",
            "telephone_number": "615-444-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 W BADDOUR PKWY",
            "address_2": "SUITE C",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872685",
            "telephone_number": "615-444-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEKSANDR OSIPCHUK MD PHD PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "OSIPCHUK",
        "authorized_official_first_name": "OLEKSANDR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-444-3836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "45937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie O'Donnell, MD
• Audrey Ann O'Neill, PA-C
• Emily Victoria O'Neill
• Old Hickory Psychiatric Assn PLLC
• Karen L Oldham, MD
• Andre C Olivier, MD
• Omni Community Health
• On-Call Med Infusion Inc
• On-Call Medical Equipment & Supply, Inc.
• On-Call Medical Equipment & Supply, Inc.

• Psychiatry Physician in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.