PREMIER PSYCHIATRY LLC NPI 1689281529

NPI Information

  • NPI: 1689281529
  • Provider Name: PREMIER PSYCHIATRY, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 10601 VIRGINIA AVE
    COCKEYSVILLE, MD
    ZIP 21030
  • Phone: (443) 353-9184

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NPI Details

PREMIER PSYCHIATRY, LLC is a psychiatric/mental health nurse practitioner in Cockeysville, MD. PREMIER PSYCHIATRY, LLC NPI is 1689281529. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10601 VIRGINIA AVE
COCKEYSVILLE, MD
ZIP 21030-315
Phone: (443) 353-9184

The provider's authorized official is Troy G Modisette .
The authorized official title is Owner/operator and has the following contact phone number (443) 742-9167.

The enumeration date for this NPI number is 9/24/2020 and was last updated on 10/31/2020.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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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