Provider Demographics
NPI:1356463640
Name:NEUROPSYCHIATRY CONSULTANTS, INC.
Entity Type:Organization
Organization Name:NEUROPSYCHIATRY CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:NOCKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-229-0415
Mailing Address - Street 1:1800 ALLENTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-1873
Mailing Address - Country:US
Mailing Address - Phone:419-229-0415
Mailing Address - Fax:419-229-0419
Practice Address - Street 1:1800 ALLENTOWN RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-1873
Practice Address - Country:US
Practice Address - Phone:419-229-0415
Practice Address - Fax:419-229-0419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH723942084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDN5964OtherMEDICARE RAILROAD
OH000000162845OtherANTHEM BCBS
OHDN5964OtherMEDICARE RAILROAD