PSIMED PA (NPI# 1366613663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366613663 |
| Entity Type | Organization |
| Organization Name | PSIMED PA |
| Practice Address |
2511-d Neudorf Rd Clemmons NC 27012 |
| Mailing Address |
Po Box 1741 Clemmons NC 27012 |
| Practice Telephone | 3367780506 |
| Practice Fax Number | 3367780570 |
| Mailing Telephone | 3367780506 |
| Mailing Fax Number | 3367780570 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |
| Authorized Official Name | DR. JASON MALCOLM CRANDELL (PRESIDENT) |
| Authorized Official Telephone | 3369184882 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
23500 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
2511-D NEUDORF RD |
| City | CLEMMONS |
| State | NC |
| Zip Code | 27012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427697978 | Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 | 2020-01-02 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 1912323635 | Lutheran Home - Forsyth County, Inc. | Skilled Nursing Facility | 7449 Fair Oaks Drive, Clemmons, NC 27012 | 2014-03-06 |
| 1487910758 | Kelly Elizabeth Kirkpatrick | Specialist/Technologist | 1735 Lewisville Clemmons Road, West Forsyth High School, Clemmons, NC 27012 | 2012-04-11 |
| 1871797688 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5175 Old Clemmons School Road, Clemmons, NC 27012 | 2007-06-14 |
| 1700970878 | Thomas M Anderson Dds Pa | Clinic/Center | 2245 Lewisville Clemmons Road Suite B, Clemmons, NC 27012 | 2006-10-03 |
| 1902998941 | Steven A Cuccia Dds Pa | Dentist | 2265 Lewisville Clemmons Rd, Suite A, Clemmons, NC 27012 | 2006-09-28 |
| 1649371402 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 3629 Clemmons Road, Clemmons, NC 27012 | 2006-09-26 |
| Find all providers in zip 27012 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700152915 | Sophia Yuan | Psychiatry & Neurology | 2554 Lewisville Clemmons Rd Ste 209, Clemmons, NC 27012-8749 | 2012-04-02 |
| 1295962066 | Todd Michael Derreberry | Psychiatry & Neurology | 2554 Lewisville Clemmons Rd Ste 207, Clemmons, NC 27012-9752 | 2009-06-18 |
| 1306847173 | Stephen Walter Kirley | Psychiatry & Neurology | 2554 Lewisville-clemmons Rd, Clemmons, NC 27012-8711 | 2005-08-03 |
| 1689165508 | Envision Behavioral Health Pllc | Psychiatry & Neurology | 2554 Lewisville Clemmons Rd Ste 207, Clemmons, NC 27012-9752 | 2018-05-25 |
| 1326575994 | Forsyth Psychiatric Associates, Pllc | Psychiatry & Neurology | 2554 Lewisville Clemmons Rd Ste 209, Clemmons, NC 27012-8749 | 2017-05-15 |
| 1942401484 | Stephen W Kirley Md Pa | Psychiatry & Neurology | 2554 Lewisville Clemmons Rd, Suite 310, Clemmons, NC 27012-8110 | 2007-05-31 |
| 1104992627 | William Jeffery Marshall | Psychiatry & Neurology | 2255 Lewisville Clemmons Rd, Clemmons, NC 27012-7463 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851696 | Cana Psychiatric Health | Psychiatry & Neurology | 1846 E Innovation Park Dr #100, Oro Valley, NC 27502-2750 | 2020-11-04 |
| 1750999876 | Integral Mental Healthcare Pllc | Psychiatry & Neurology | 1105 Walnut St Ste F-16031, Cary, NC 27511-4762 | 2020-07-14 |
| 1740808096 | Best Day Psychiatry and Counseling, PC | Psychiatry & Neurology | 4905 Pine Cone Dr Ste 9, Durham, NC 27707-5258 | 2020-07-13 |
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1639792245 | Summit Health Psychiatry, PC | Psychiatry & Neurology | 226 Shannon Rd, Hendersonville, NC 28791-8739 | 2020-05-19 |
| 1083240592 | Sabrina Michelle Campbell | Psychiatry & Neurology | 1601 Brenner Ave Bldg 8-1, Salisbury, NC 28144-2515 | 2020-03-16 |
| 1457986416 | Benjamin Boris Brodey | Psychiatry & Neurology | 201 E Rosemary St, Chapel Hill, NC 27514-3529 | 2020-03-10 |
| 1538794276 | Carolina Psychiatry Center, Pllc | Psychiatry & Neurology | 301 Keisler Dr Ste A, Cary, NC 27518-7018 | 2020-03-03 |
| 1568002608 | Avant Medical Consulting Pllc | Psychiatry & Neurology | 109 Rosegarten Ct, New Bern, NC 28562-1016 | 2020-01-07 |
| 1518503994 | Mental Health Associates and Addiction | Psychiatry & Neurology | 1944 Hendersonville Rd # D-1a, Asheville, NC 28803-2351 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.