PRECISE PSYCHOPHARMACOLOGY LLC (NPI# 1407053051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407053051 |
| Entity Type | Organization |
| Organization Name | PRECISE PSYCHOPHARMACOLOGY LLC |
| Practice Address |
3531 Lakeland Dr Suite 1060 Flowood MS 39232 |
| Mailing Address |
Po Box 321015 Flowood MS 39232-1015 |
| Practice Telephone | 6014205810 |
| Practice Fax Number | 6014205811 |
| Mailing Telephone | 6014205810 |
| Mailing Fax Number | 6014205811 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2009-03-16 |
| Authorized Official Name | JOSEPH A KWENTUS (OWNER) |
| Authorized Official Telephone | 6014205810 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02523719 | 05 | |
| MS | COMMERCIAL I.D. # | 490507958 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184862708 | Precise Psychopharmacology LLC | Psychiatry & Neurology | 3531 Lakeland Dr, Suite 1060, Flowood, MS 39232-8049 | 2009-02-04 |
| Street Address |
3531 LAKELAND DR SUITE 1060 |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487638441 | Brentwood Acquisition Inc | Psychiatric Hospital | 3531 Lakeland Dr, Flowood, MS 39232-8016 | 2005-12-02 |
| 1376028316 | April Norwood | Registered Nurse | 3531 Lakeland Dr, Flowood, MS 39232-8049 | 2018-09-25 |
| 1023549060 | Brentwood Acquisition Pharmacy | Pharmacy | 3531 Lakeland Dr, Flowood, MS 39232-8049 | 2017-03-22 |
| 1396292033 | Amanda Burns | Nurse Practitioner | 3531 Lakeland Dr, Complex B Suite 1052, Flowood, MS 39232-8049 | 2016-09-09 |
| 1518411529 | Children's Psychiatric Solutions | Nurse Practitioner | 3531 Lakeland Dr, Ste 1052, Flowood, MS 39232-8049 | 2016-08-08 |
| 1326467929 | Nicole Simonson | Counselor | 3531 Lakeland Dr, Suite 1060, Flowood, MS 39232-8049 | 2014-04-10 |
| 1053681213 | Joyce Chappell Vaughn | Nurse Practitioner | 3531 Lakeland Dr, Suite 1058, Flowood, MS 39232-8049 | 2012-01-05 |
| 1184862708 | Precise Psychopharmacology LLC | Psychiatry & Neurology | 3531 Lakeland Dr, Suite 1060, Flowood, MS 39232-8049 | 2009-02-04 |
| 1710175260 | Clinical Neuroscience Group, Pllc | Psychiatry & Neurology | 3531 Lakeland Dr, Suite 1058, Flowood, MS 39232-8049 | 2007-10-10 |
| 1528273919 | Brentwood Acquisition | Psychiatry & Neurology | 3531 Lakeland Dr, Flowood, MS 39232-8839 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| 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 |
|---|---|---|---|---|
| 1346434792 | Donald C. Guild, M.d., J.d., Pa | Psychiatry & Neurology | 3531 Lakeland Drive, Complex B Suite 1040, Flowood, MS 39232-8839 | 2007-08-29 |
| 1891886339 | Sudhakar Madakasira | Psychiatry & Neurology | 2540 Flowood Dr, Ste A, Flowood, MS 39232-9362 | 2006-09-28 |
| 1639105794 | Gregory Andrew Gordon | Psychiatry & Neurology | 232 Market St, Suite 234, Flowood, MS 39232-3339 | 2006-06-23 |
| 1538140512 | Mark Owen Rester | Psychiatry & Neurology | 1000 Lakeland Square Ext, Ste. 900, Flowood, MS 39232-7620 | 2005-11-08 |
| 1699210401 | Gregory Gordon Md, Pllc | Psychiatry & Neurology | 232 Market St, Suite 234, Flowood, MS 39232-3339 | 2017-01-03 |
| 1801128798 | Flowood River Oaks Hma Medical Group, LLC | Psychiatry & Neurology | 1030 River Oaks Dr, Flowood, MS 39232-9553 | 2010-02-03 |
| 1184862708 | Precise Psychopharmacology LLC | Psychiatry & Neurology | 3531 Lakeland Dr, Suite 1060, Flowood, MS 39232-8049 | 2009-02-04 |
| 1528273919 | Brentwood Acquisition | Psychiatry & Neurology | 3531 Lakeland Dr, Flowood, MS 39232-8839 | 2007-05-11 |
| 1932296589 | Brenda Peyton Hines | Psychiatry & Neurology | 1006 Treetops Blvd, Flowood, MS 39232-7645 | 2006-10-06 |
| 1083648406 | Donald C Guild | Psychiatry & Neurology | 3531 Lakeland Dr, Complex B Suite 1040, Flowood, MS 39232-8839 | 2006-07-10 |
| Find all providers in FLOWOOD | ||||
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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.