Provider Demographics
NPI:1598251381
Name:1 PSYCHIATRY P.C
Entity Type:Organization
Organization Name:1 PSYCHIATRY P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARADHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-242-0024
Mailing Address - Street 1:211 SIOUX POINT RD STE 300
Mailing Address - Street 2:
Mailing Address - City:DAKOTA DUNES
Mailing Address - State:SD
Mailing Address - Zip Code:57049-5492
Mailing Address - Country:US
Mailing Address - Phone:605-242-0024
Mailing Address - Fax:605-242-0026
Practice Address - Street 1:211 SIOUX POINT RD STE 300
Practice Address - Street 2:
Practice Address - City:DAKOTA DUNES
Practice Address - State:SD
Practice Address - Zip Code:57049-5492
Practice Address - Country:US
Practice Address - Phone:605-242-0024
Practice Address - Fax:605-242-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD90892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty