Provider Demographics
NPI:1346592326
Name:PSYCHIATRY ASSOCIATES, PC
Entity Type:Organization
Organization Name:PSYCHIATRY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GONZALO
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:GURMENDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-879-2120
Mailing Address - Street 1:1736 OXMOOR RD
Mailing Address - Street 2:STE 103
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4058
Mailing Address - Country:US
Mailing Address - Phone:205-879-2120
Mailing Address - Fax:205-879-2125
Practice Address - Street 1:1736 OXMOOR RD
Practice Address - Street 2:STE 103
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-4058
Practice Address - Country:US
Practice Address - Phone:205-879-2120
Practice Address - Fax:205-879-2125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty