Provider Demographics
NPI:1629752480
Name:MEDICAL AND PSYCHIATRIC & CONSULTING SERVICES, LLC
Entity Type:Organization
Organization Name:MEDICAL AND PSYCHIATRIC & CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:419-280-8855
Mailing Address - Street 1:512 WASHINGTON ST STE A
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-4453
Mailing Address - Country:US
Mailing Address - Phone:216-930-5355
Mailing Address - Fax:
Practice Address - Street 1:512 WASHINGTON ST STE A
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-4453
Practice Address - Country:US
Practice Address - Phone:216-930-5255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty