Provider Demographics
NPI:1679116032
Name:PSYCHIATRY SERVICES PLC
Entity Type:Organization
Organization Name:PSYCHIATRY SERVICES PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAWEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GALECKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-999-0269
Mailing Address - Street 1:8001 PEBBLESTONE DR
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-6201
Mailing Address - Country:US
Mailing Address - Phone:734-999-0269
Mailing Address - Fax:734-212-6953
Practice Address - Street 1:8001 PEBBLESTONE DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-6201
Practice Address - Country:US
Practice Address - Phone:734-999-0269
Practice Address - Fax:734-212-6953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty