Provider Demographics
NPI:1659593275
Name:TIFFIN PSYCHIATRY CENTER
Entity Type:Organization
Organization Name:TIFFIN PSYCHIATRY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JATINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:RANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-447-0269
Mailing Address - Street 1:PO BOX 688
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-0688
Mailing Address - Country:US
Mailing Address - Phone:419-447-0269
Mailing Address - Fax:419-447-0285
Practice Address - Street 1:668 MIAMI ST
Practice Address - Street 2:SUITE B
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-1934
Practice Address - Country:US
Practice Address - Phone:419-447-0269
Practice Address - Fax:419-447-0285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350762572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1356320329OtherINDIVIDUAL NPI #
OH2999895Medicaid
OH9349241Medicare PIN