Provider Demographics
NPI:1558086363
Name:VETERANS PSYCHIATRIC SERVICES LLC
Entity Type:Organization
Organization Name:VETERANS PSYCHIATRIC SERVICES LLC
Other - Org Name:A HEALTHY BRAIN PSYCHIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-CNP, PMHNP-BC
Authorized Official - Phone:937-594-1142
Mailing Address - Street 1:16275 RIVERBIRCH DR
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-7077
Mailing Address - Country:US
Mailing Address - Phone:937-594-1142
Mailing Address - Fax:937-860-2194
Practice Address - Street 1:401 US HIGHWAY 62 S UNIT C
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-6754
Practice Address - Country:US
Practice Address - Phone:937-594-1142
Practice Address - Fax:937-860-2194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty