Provider Demographics
NPI:1639470552
Name:PSYCHOLOGICAL AND PSYCHIATRIC CONSULTANTS, LLC
Entity Type:Organization
Organization Name:PSYCHOLOGICAL AND PSYCHIATRIC CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:GEIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-464-1277
Mailing Address - Street 1:23811 CHAGRIN BLVD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5525
Mailing Address - Country:US
Mailing Address - Phone:216-464-1277
Mailing Address - Fax:216-464-9109
Practice Address - Street 1:23811 CHAGRIN BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5525
Practice Address - Country:US
Practice Address - Phone:216-464-1277
Practice Address - Fax:216-464-9109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1971814103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty