Provider Demographics
NPI:1376258921
Name:COUCH PSYCHIATRY
Entity Type:Organization
Organization Name:COUCH PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:NAYLOR
Authorized Official - Last Name:KENAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-280-6805
Mailing Address - Street 1:9735 WILSHIRE BLVD STE 212
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2102
Mailing Address - Country:US
Mailing Address - Phone:702-280-6805
Mailing Address - Fax:
Practice Address - Street 1:9735 WILSHIRE BLVD STE 212
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2102
Practice Address - Country:US
Practice Address - Phone:702-280-6805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty