Provider Demographics
NPI:1295206092
Name:PINNACLE INTERVENTIONAL PSYCHIATRY
Entity Type:Organization
Organization Name:PINNACLE INTERVENTIONAL PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WONGNGAMNIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-760-4510
Mailing Address - Street 1:1312 N EMERSON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1815
Mailing Address - Country:US
Mailing Address - Phone:812-760-4510
Mailing Address - Fax:
Practice Address - Street 1:1450 HOYT ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-4763
Practice Address - Country:US
Practice Address - Phone:812-760-4510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty