Cumberland Psychiatric Services, P.C.
Organization Active NPI Psychiatry Physician · MC Minnville, TN
NPI 1942307012 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1942307012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- CUMBERLAND PSYCHIATRIC SERVICES, P.C.
- Practice address
- 201 W Main St
MC Minnville, TN 37110-2581 - Phone
- (931) 473-7856
- Fax
- (931) 506-5317
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Badshah Maitra, M.D.
- Title
- Ceo
- Phone
- (931) 473-7856
National Provider Directory
Locations
201 W Main St
McMinnville, TN 37110
Phone (865) 258-1999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
201 W Main St
MC Minnville, TN 37110-2581
Mailing address
201 W Main St
MC Minnville, TN 37110-2581
Phone (931) 473-7856
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3718605 | Medicaid | TN | |
| 3104389 | Other | TN | BLUE CROSS BLUE SHIELD |
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- David Smedley
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All providers in MC Minnville, TN · Psychiatry Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.