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PSYCHIATRIC ASSOCIATES OF KINGSPORT LLP NPI 1750485322


NPI Information

NPI: 1750485322
Provider Name: PSYCHIATRIC ASSOCIATES OF KINGSPORT LLP
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
444 CLINCHFIELD ST STE 101
KINGSPORT, TN
ZIP 37660
Phone: (423) 392-6500
Get Directions

PSYCHIATRIC ASSOCIATES OF KINGSPORT LLP is a psychiatry psychiatry neurology in Kingsport, TN. 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. PSYCHIATRIC ASSOCIATES OF KINGSPORT LLP NPI is 1750485322. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

444 CLINCHFIELD ST STE 101
KINGSPORT, TN
ZIP 37660-859
Phone: (423) 392-6500
Fax: (423) 392-6504

The provider's authorized official is Eric D Moffet .
The authorized official title is M.d. Partner and has the following contact phone number (423) 392-6500.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 7/7/2020.


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 & NeurologyPsychiatryMD0000016494TENNESSEENo
22084P0800XPsychiatry & NeurologyPsychiatryMD0000013797TENNESSEENo
32084P0800XPsychiatry & NeurologyPsychiatryMD0000020620TENNESSEEYes

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
1069097OTHERVIRGINIAKUTTY BC VA
23016081MEDICAIDTENNESSEE
33052859MEDICAIDTENNESSEE
40048066OTHERTENNESSEEKUTTY BC TN
53189819MEDICAIDTENNESSEE
6069099OTHERVIRGINIAMOFFET BCVA
70018152OTHERTENNESSEESMITH BCTN
80105831OTHERTENNESSEEMOFFET BCTN
9069098OTHERVIRGINIASMITH BCVA

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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