KMR PSYCHIATRIC SERVICES LLC NPI 1053943779

NPI Information

  • NPI: 1053943779
  • Provider Name: KMR PSYCHIATRIC SERVICES LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: PSYCHNOW
  • Address: 4656 W JEFFERSON BLVD STE 285
    FORT WAYNE, IN
    ZIP 46804
  • Phone: (260) 422-9372

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NPI Details

KMR PSYCHIATRIC SERVICES LLC is a mental health (including community mental health center) clinic center in Fort Wayne, IN. KMR PSYCHIATRIC SERVICES LLC NPI is 1053943779. The provider is registered as an organization entity type.
The provider Is Doing Business As Psychnow.

The provider's business location address is:

4656 W JEFFERSON BLVD STE 285
FORT WAYNE, IN
ZIP 46804-838
Phone: (260) 422-9372

The provider's authorized official is Kimra K Reed .
The authorized official title is Owner and has the following contact phone number (260) 610-3057.

The enumeration date for this NPI number is 2/11/2020 and was last updated on 5/27/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201296650MEDICAIDINDIANA

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: 11/21/2025

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