| Associates In Intelligent Psychiatry Pllc | |
|
806 Green Valley Rd Ste 200 Greensboro NC 27408-7076 | |
| (336) 298-1699 | |
| Not Available |
| Full Name | Associates In Intelligent Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 806 Green Valley Rd Ste 200, Greensboro, North Carolina |
| Authorized Official Name and Position | Kyle Long (OWNER/PROVIDER) |
| Authorized Official Contact | 3362981699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Intelligent Psychiatry Pllc 7993 Bartonshire Dr Oak Ridge NC 27310-9674 Ph: (336) 312-8716 | Associates In Intelligent Psychiatry Pllc 806 Green Valley Rd Ste 200 Greensboro NC 27408-7076 Ph: (336) 298-1699 |
| NPI Number | 1538620604 |
|---|---|
| Provider Enumeration Date | 03/29/2019 |
| Last Update Date | 07/07/2022 |
| Certification Date | 07/07/2022 |
| Medicare PECOS PAC ID | 7911233952 |
|---|---|
| Medicare Enrollment ID | O20190729001540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538620604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kyle Y Long |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609814391 PECOS PAC ID: 5597733469 Enrollment ID: I20040918000116 |
| Provider Name | Connie Lea Calvert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770757775 PECOS PAC ID: 5799848032 Enrollment ID: I20100720000644 |
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