Kingsport Psychiatric Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KINGSPORT PSYCHIATRIC SERVICES

Practice address

1536 Bridgewater LN Ste 103
Kingsport, TN 37660-4103

Phone

(423) 245-2406

Fax

(423) 245-2404

NPI assigned

Feb 22, 2019

Organization subpart

No

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

Authorized official

Name

Sachdev Somiah, MDNPI 1770521676

Title

Owner

Phone

(423) 245-2406

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 5

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.

• Sachdev Somiah, M.D.

  • Psychiatry Physician
  • Kingsport, TN
  • NPI 1770521676
  Medicare reassignment Care Compare group NPD Authorized official
• Joan Colette D'Cruz, APRN, BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingsport, TN
  • NPI 1558569426
  Medicare reassignment Care Compare group NPD
• Brandy Gene Weems, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingsport, TN
  • NPI 1336812171
  Medicare reassignment Care Compare group NPD
• Lisamarie Grace Levasseur, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Elizabethton, TN
  • NPI 1437877727
  Medicare reassignment NPD
• Heather Strada, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingsport, TN
  • NPI 1548186190
  NPD (past)

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1568929818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 BRIDGEWATER LN STE 103",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604103",
            "telephone_number": "423-245-2406",
            "fax_number": "423-245-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 BRIDGEWATER LN STE 103",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604103",
            "telephone_number": "423-245-2406",
            "fax_number": "423-245-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSPORT PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "SOMIAH",
        "authorized_official_first_name": "SACHDEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-245-2406",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingsport Family Recovery Associates
• Kingsport NH Operations, LLC (Brookhaven Manor)
• Kingsport Plastic Surgery, PC
• Kingsport Primary Care, PC
• Kingsport Primary Healthcare, LLC
• Kingsport Psychiatry & Counseling Services, PLLC
• Kingsport Senior House, LLC (The Village at Allandale)
• Kingsport TN Ophthalmology ASC LLC (Regional Eye Surgery Center)
• Kingsport TN Ophthalmology ASC LLC (The Regional Eye Surgery Center)
• Kingsport Urology Group

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.