| Kingsport Psychiatric Services | |
|
1536 Bridgewater Ln Ste 103 Kingsport TN 37660-4103 | |
| (423) 245-2406 | |
| (423) 245-2404 |
| Full Name | Kingsport Psychiatric Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1536 Bridgewater Ln Ste 103, Kingsport, Tennessee |
| Authorized Official Name and Position | Sachdev Somiah (OWNER) |
| Authorized Official Contact | 4232452406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingsport Psychiatric Services 1536 Bridgewater Ln Ste 103 Kingsport TN 37660-4103 Ph: (423) 245-2406 | Kingsport Psychiatric Services 1536 Bridgewater Ln Ste 103 Kingsport TN 37660-4103 Ph: (423) 245-2406 |
| NPI Number | 1568929818 |
|---|---|
| Provider Enumeration Date | 02/22/2019 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Medicare PECOS PAC ID | 4789925272 |
|---|---|
| Medicare Enrollment ID | O20190410001801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568929818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sachdev Somiah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770521676 PECOS PAC ID: 4183666555 Enrollment ID: I20050525000915 |
| Provider Name | Joan Colette D'cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558569426 PECOS PAC ID: 0244572162 Enrollment ID: I20190425000376 |
| Provider Name | Brandy Gene Weems |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336812171 PECOS PAC ID: 7719383934 Enrollment ID: I20210913002668 |
| Provider Name | Lisamarie Grace Levasseur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437877727 PECOS PAC ID: 6608242763 Enrollment ID: I20221115000795 |
Patient Resource Management Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Woodberry Cir, Kingsport, TN 37663 Phone: 423-239-9430 Fax: 423-239-9430 | |
Associated Neurologists Of Kingsport Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8 Sheridan Sq Ste 200, Kingsport, TN 37660 Phone: 423-247-5553 Fax: 423-247-9254 | |
Mountain States Health Alliance Out-patient Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2012 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-5566 Fax: 423-857-5564 | |
Appalachian Pediatric Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5400 Fort Henry Dr Ste 12, Kingsport, TN 37663 Phone: 423-426-3304 | |
Dba Blue Ridge Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Pavilion Dr, Kingsport, TN 37660 Phone: 423-857-5720 Fax: 423-857-5720 | |
Common Thread Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2004 American Way Ste 109, Kingsport, TN 37660 Phone: 423-612-8469 Fax: 833-540-3751 | |
Tri-star Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 208 Ferrell Ave, Kingsport, TN 37663 Phone: 423-426-6901 |