NPIMap

Organization Active NPI

Precise Psychopharmacology LLC

  • Psychiatry Physician
  • Flowood, MS
National Provider Identifier
1407053051
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PRECISE PSYCHOPHARMACOLOGY LLC
Practice address
3531 Lakeland Dr
Suite 1060
Flowood, MS 39232
Phone
(601) 420-5810
Fax
(601) 420-5811
NPI assigned
Jun 28, 2007
Last updated
Mar 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Joseph A Kwentus, M.D.NPI 1477582096
Title
Owner
Phone
(601) 420-5810

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
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

3531 Lakeland Dr
Suite 1060
Flowood, MS 39232

Mailing address

PO Box 321015
Flowood, MS 39232-1015
Phone (601) 420-5810

Other identifiers 2

IdentifierTypeStateIssuer
490507958OtherMSCOMMERCIAL I.D. #
02523719MedicaidMS

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1407053051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321015",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392321015",
            "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": "39232",
            "telephone_number": "601-420-5810",
            "fax_number": "601-420-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE PSYCHOPHARMACOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2009-03-16",
        "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_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL I.D. #",
            "identifier": "490507958",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02523719",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.