Provider Demographics
NPI:1427356732
Name:PSYSOLUTIONS
Entity Type:Organization
Organization Name:PSYSOLUTIONS
Other - Org Name:FIRST HOME CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:MRO CLINICAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUZYN
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:202-654-5110
Mailing Address - Street 1:1012 14TH ST NW
Mailing Address - Street 2:SUITE 800
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-3406
Mailing Address - Country:US
Mailing Address - Phone:202-654-5110
Mailing Address - Fax:202-654-0898
Practice Address - Street 1:1012 14TH ST NW
Practice Address - Street 2:SUITE 800
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3406
Practice Address - Country:US
Practice Address - Phone:202-654-5110
Practice Address - Fax:202-654-0898
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED HEALTH CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC50078326251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health