Provider Demographics
NPI:1518510692
Name:AMERICAN PSYCHIATRIC CARE LLC
Entity Type:Organization
Organization Name:AMERICAN PSYCHIATRIC CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAVIKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:BHALAVAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-670-3076
Mailing Address - Street 1:2014 S TOLLGATE RD STE 208
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-5904
Mailing Address - Country:US
Mailing Address - Phone:410-670-3076
Mailing Address - Fax:
Practice Address - Street 1:2244 GREENCEDAR DR
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6379
Practice Address - Country:US
Practice Address - Phone:410-670-3076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN PSYCHIATRIC CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty