Tri-County Psychiatric Services, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

TRI-COUNTY PSYCHIATRIC SERVICES, LLC

Practice address

557 Glover Ave
Suite 1
Enterprise, AL 36330-2024

Phone

(334) 347-7705

Fax

(334) 347-7715

NPI assigned

Nov 7, 2012

Last updated

Nov 7, 2012By 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

Dr. Eyob Hailu Tessema, M.D.NPI 1639195076

Title

Sole Owner

Phone

(334) 347-7705

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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.

• Eyob Tessema, M.D.

  • Psychiatry Physician
  • Enterprise, AL
  • NPI 1639195076
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1467706879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 GLOVER AVE",
            "address_2": "SUITE 1",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302024",
            "telephone_number": "334-347-7705",
            "fax_number": "334-347-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 GLOVER AVE",
            "address_2": "SUITE 1",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302024",
            "telephone_number": "334-347-7705",
            "fax_number": "334-347-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "TESSEMA",
        "authorized_official_first_name": "EYOB",
        "authorized_official_middle_name": "HAILU",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "334-347-7705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Jane Tomlin
• Timothy D. Toomey, BC-HIS
• Keston Trammell, MSN FNP-C
• Brantley Trawick, RBT
• Rebekah Traylor
• Triad of Alabama LLC (Breathing Care - Enterprise Home Health)
• Allison Nicole Trimm
• Trinity Development, LLC (South Alabama Outpatient Services)
• Dallas Turner, LPTA
• Penny Helms Turner, DPT

• Psychiatry Physician in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.