NPIMap

Organization Active NPI

Redi-Med Psychiatry

  • Psychiatry Physician
  • Mandeville, LA
National Provider Identifier
1841781911
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
304496 Issued in LA
Legal business name
REDI-MED PSYCHIATRY
Doing business as
Redi-med Psychiatry LLC
Practice address
4430 Highway 22 Ste B
Mandeville, LA 70471-3310
Phone
(985) 626-3470
Fax
(985) 674-5377
NPI assigned
May 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Dr. Mohammad Imran Naeem, MDNPI 1811253420
Title
Psychiatrist
Phone
(985) 626-3470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 304496 LA Primary

Addresses

Primary practice location

4430 Highway 22 Ste B
Mandeville, LA 70471-3310

Mailing address

4430 Highway 22
Mandeville, LA 70471-3310
Phone (985) 626-3470

Other names 1

  • Redi-med Psychiatry LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180817000915 LA Part B Supplier - Clinic/Group Practice 8123377595 Receives reassigned benefits from 4 practitioners
Practice locations: Mandeville, LA

National Provider Directory

National Provider Directory

Locations

4430 Highway 22
Ste B
Mandeville, LA 70471
Phone (985) 626-3470

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1841781911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 HIGHWAY 22",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713310",
            "telephone_number": "985-626-3470",
            "fax_number": "985-674-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 HIGHWAY 22 STE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713310",
            "telephone_number": "985-626-3470",
            "fax_number": "985-674-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDI-MED PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "NAEEM",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "IMRAN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "985-626-3470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "304496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redi-med Psychiatry LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Redi-med Psychiatry LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.