MYK PSYCHIATRY LLC NPI 1124692165

NPI Information

NPI: 1124692165
Provider Name: MYK PSYCHIATRY LLC

Doing Business As: MYNDPATH PSYCHIATRY AND MEDICAL ASSOCIATES LLC

Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
188 THOMAS JOHNSON DR STE 202
FREDERICK, MD
ZIP 21702
Phone: (301) 378-0178
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MYK PSYCHIATRY LLC is a psychiatric/mental health clinical nurse specialist in Frederick, MD. MYK PSYCHIATRY LLC NPI is 1124692165. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Myndpath Psychiatry And Medical Associates Llc.

The provider's business location address is:

188 THOMAS JOHNSON DR STE 202
FREDERICK, MD
ZIP 21702-122
Phone: (301) 378-0178
Fax: (443) 281-6379

The provider's authorized official is Mandi Rhone .
The authorized official title is Msn, Crnp and has the following contact phone number (713) 398-2360.

The enumeration date for this NPI number is 5/14/2021 and was last updated on 1/21/2022.

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
1	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health			Yes

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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