Provider Demographics
NPI:1184049736
Name:AMERICAN PSYCHIATRIC CARE
Entity type:Organization
Organization Name:AMERICAN PSYCHIATRIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAVIKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:BHALAVAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-670-3076
Mailing Address - Street 1:2014 SOUTH TOLLGATE ROAD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015
Mailing Address - Country:US
Mailing Address - Phone:410-670-3076
Mailing Address - Fax:443-372-5365
Practice Address - Street 1:2014 SOUTH TOLLGATE ROAD
Practice Address - Street 2:SUITE 208
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015
Practice Address - Country:US
Practice Address - Phone:410-670-3076
Practice Address - Fax:443-372-5365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-19
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00747902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty