Provider Demographics
NPI:1669828059
Name:PSYHEALTHCARE, LLC
Entity Type:Organization
Organization Name:PSYHEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:RITU
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATTREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-330-4710
Mailing Address - Street 1:3355 RICHMOND RD
Mailing Address - Street 2:SUITE 225A
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4100
Mailing Address - Country:US
Mailing Address - Phone:216-831-1494
Mailing Address - Fax:
Practice Address - Street 1:3355 RICHMOND RD
Practice Address - Street 2:SUITE 225A
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4100
Practice Address - Country:US
Practice Address - Phone:216-831-1494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)