Psych Docs, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

15267 Issued in MS

Legal business name

PSYCH DOCS, LLC

Practice address

601 Renaissance Way
Ridgeland, MS 39157-6038

Phone

(601) 720-7605

Fax

(601) 605-9904

NPI assigned

Jul 7, 2017

Last updated

Jul 21, 2022By 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

Parveen Kumar, MDNPI 1366544603

Title

Business Owner

Phone

(601) 605-9914

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, GA2 enrollments

Enrollment records 2

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.

• Parveen Kumar, M.D.

  • Psychiatry Physician
  • Ridgeland, MS
  • NPI 1366544603

  GA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861914103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RENAISSANCE WAY",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576038",
            "telephone_number": "601-720-7605",
            "fax_number": "601-605-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RENAISSANCE WAY",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576038",
            "telephone_number": "601-720-7605",
            "fax_number": "601-605-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH DOCS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "PARVEEN",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "601-605-9914",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "15267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.