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MIDSOUTH MEDICINE & PSYCHIATRY CONSULTANTS PA NPI 1417285834


NPI Information

NPI: 1417285834
Provider Name: MIDSOUTH MEDICINE & PSYCHIATRY CONSULTANTS PA
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
208 N 5TH ST
BLYTHEVILLE, AR
ZIP 72315
Phone: (870) 763-2461
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MIDSOUTH MEDICINE & PSYCHIATRY CONSULTANTS PA is a psychiatry psychiatry neurology in Blytheville, AR. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. MIDSOUTH MEDICINE & PSYCHIATRY CONSULTANTS PA NPI is 1417285834. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

208 N 5TH ST
BLYTHEVILLE, AR
ZIP 72315-712
Phone: (870) 763-2461
Fax: (870) 763-2466

The provider's authorized official is Carlos A Salgueiro .
The authorized official title is President and has the following contact phone number (901) 634-6999.

The enumeration date for this NPI number is 11/23/2009 and was last updated on 11/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryE1127ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1203956909MEDICAIDMISSOURI
2G39171MEDICARE UPIN
35K642MEDICARE PIN
4132862001MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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