Provider Demographics
NPI:1225271760
Name:AMERICAN PSYCH ASSOCIATES, INC.
Entity Type:Organization
Organization Name:AMERICAN PSYCH ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:PARVEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-790-9266
Mailing Address - Street 1:PO BOX 2706
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39130-2706
Mailing Address - Country:US
Mailing Address - Phone:601-790-9266
Mailing Address - Fax:601-790-9267
Practice Address - Street 1:299 HIGHWAY 51
Practice Address - Street 2:SUITE F2
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-3424
Practice Address - Country:US
Practice Address - Phone:601-790-9266
Practice Address - Fax:601-790-9267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-14
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS15267261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00204705Medicaid
MS00204705Medicaid
MS25254623Medicare Oscar/Certification