Provider Demographics
NPI:1730487414
Name:DOCTORS PSYCHIATRIC SERVICES,LLC
Entity Type:Organization
Organization Name:DOCTORS PSYCHIATRIC SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:BERCHMAN
Authorized Official - Last Name:DEVILLIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-569-9933
Mailing Address - Street 1:PO BOX 222
Mailing Address - Street 2:
Mailing Address - City:POPLARVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39470-0222
Mailing Address - Country:US
Mailing Address - Phone:601-569-9933
Mailing Address - Fax:601-795-4603
Practice Address - Street 1:208 CEDAR ST
Practice Address - Street 2:
Practice Address - City:POPLARVILLE
Practice Address - State:MS
Practice Address - Zip Code:39470-4211
Practice Address - Country:US
Practice Address - Phone:601-569-9933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS175342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty