Psychmed Innovative Solutions

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PSYCHMED INNOVATIVE SOLUTIONS

Practice address

130 S Central Expy
McKinney, TX 75070-3742

Phone

(972) 547-8000

NPI assigned

Feb 5, 2019

Last updated

Feb 5, 2019By 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. Maximus Anitube, MDNPI 1316250483

Title

Ceo

Phone

(617) 838-5373

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Maximus Nwakalunna Anitube, M.D.

  • Psychiatry Physician
  • McKinney, TX
  • NPI 1316250483
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1588129365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 LISBURN DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713348",
            "telephone_number": "617-838-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S CENTRAL EXPY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703742",
            "telephone_number": "972-547-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHMED INNOVATIVE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "ANITUBE",
        "authorized_official_first_name": "MAXIMUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-838-5373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prudent Family Dentistry of McKinney PLLC
• John Francis Prudich, M.D.
• Psych Vista PLLC
• Psychiatric Associates of McKinney
• Psychiatric Group, P.a.
• PT Concepts of McKinney West, LLC
• Pukapllc (Family Dental of McKinney)
• Jeana Christine Pullen, LPC
• Pullium Creek, Inc (McKinney Pharmacy)
• Pullium Creek, Inc (McKinney Pharmacy)

• Psychiatry Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.