Mid Atlantic Psychiatric Physicians

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD025752E Issued in PA

Legal business name

MID ATLANTIC PSYCHIATRIC PHYSICIANS

Practice address

822 Marietta Ave
Ste 24
Lancaster, PA 17603-3239

Phone

(717) 299-0582

Fax

(717) 394-8930

NPI assigned

Jun 27, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Kurtis D Jens, M.D.

Title

Owner

Phone

(717) 299-0582

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932105756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 MARIETTA AVE",
            "address_2": "STE 24",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033239",
            "telephone_number": "717-299-0582",
            "fax_number": "717-394-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 MARIETTA AVE",
            "address_2": "STE 24",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033239",
            "telephone_number": "717-299-0582",
            "fax_number": "717-394-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC PSYCHIATRIC PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENS",
        "authorized_official_first_name": "KURTIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-299-0582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD025752E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073781550002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE #",
            "identifier": "025752-E",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Hoober, LPC
• Michael S. Paparo
• Mallory Michel, B.A
• Lisa Michels
• Mid Atlantic Nutrition Specialists, LLC
• Mid Atlantic Surgical Services Inc
• Midatlantic Endoscopy LLC
• Midatlantic Endoscopy LLC
• Kizzy Middleton
• Middleway Wellness

• Psychiatry Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.