Provider Demographics
NPI:1962248765
Name:ELDERBERRY PSYCHIATRIC CONSULTING
Entity type:Organization
Organization Name:ELDERBERRY PSYCHIATRIC CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SALCEDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MBA
Authorized Official - Phone:615-434-4892
Mailing Address - Street 1:6339 CHARLOTTE PIKE # 1027
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-2926
Mailing Address - Country:US
Mailing Address - Phone:615-434-4892
Mailing Address - Fax:
Practice Address - Street 1:327 CALDWELL DR STE 500
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-3410
Practice Address - Country:US
Practice Address - Phone:615-239-1404
Practice Address - Fax:615-900-2716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty