Iwueke Psychatric Clinic

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD46972 Issued in TN

Legal business name

IWUEKE PSYCHATRIC CLINIC

Practice address

1601 W Main St Ste D
Tupelo, MS 38801-3300

Phone

(662) 840-7800

Fax

(662) 842-8899

NPI assigned

Apr 29, 2014

Organization subpart

No

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

Authorized official

Name

Chika U Iwueke, MDNPI 1649407917

Title

President

Phone

(662) 840-7800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 2

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

• Chika Uchechukwu Iwueke

  • Psychiatry Physician
  • Tupelo, MS
  • NPI 1649407917
  Medicare reassignment NPD Authorized official
• Sally West, LMFT

  • Marriage & Family Therapist
  • Tupelo, MS
  • NPI 1871913558
  NPD (past)

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1407266539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W MAIN ST STE D",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013300",
            "telephone_number": "662-840-7800",
            "fax_number": "662-842-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W MAIN ST STE D",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013300",
            "telephone_number": "662-840-7800",
            "fax_number": "662-842-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IWUEKE PSYCHATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "IWUEKE",
        "authorized_official_first_name": "CHIKA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-840-7800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD46972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milan Edward Ivancic, MD
• Donavan Ivy
• Lakeisha Denise Ivy, M.ED.
• Quanashetia McKinney Ivy, BSW
• Ulaunda Ivy, MSCE
• Chika Uchechukwu Iwueke
• Christy Jack, PCMHT
• Jackson Diabetes Care and Consulting LLC
• Amber Jackson
• Bernadette Jackson, LMSW

• Neurology Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Neurology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.