Olgierd Pucilowski, M.D., PH.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

200000116 Issued in NC

Practice address

Psychiatric and Addictin Therapeutic Healing Services
800 N Justice Street
Hendersonville, NC 28791-3410

Phone

(828) 696-4250

Fax

(828) 696-4256

NPI assigned

Feb 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1689647463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 WILLOW DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275173029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PSYCHIATRIC AND ADDICTIN THERAPEUTIC HEALING SERVICES",
            "address_2": "800 N JUSTICE STREET",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913410",
            "telephone_number": "828-696-4250",
            "fax_number": "828-696-4256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2304 Wesvill Ct",
            "address_2": "Suite 280",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276072973",
            "country_code": "US",
            "telephone_number": "919-786-9700 x1",
            "fax_number": "919-786-6009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCILOWSKI",
        "first_name": "OLGIERD",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200000116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2281241B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01174529",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primedoc Park Ridge PA
• Primehealth Hendersonville, PA
• PRN Medical Resource, PLLC
• Shanoya Pryce
• Publix North Carolina, LP
• Steven Robert Punzell, M.D.
• Willa Denise Purcell
• Lea Harrell Putnam, M.ED.
• Jerald D Pyles, M.D.
• Quality Healthcare Associates

• Psychiatry Physician in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.