| Psycare Llc | |
|
8356 Silverwind Dr Memphis TN 38125-0767 | |
| (901) 480-8225 | |
| (901) 234-0152 |
| Full Name | Psycare Llc |
|---|---|
| Speciality | Psychologist |
| Location | 8356 Silverwind Dr, Memphis, Tennessee |
| Authorized Official Name and Position | Radwan Khuri (OWNER) |
| Authorized Official Contact | 9012377701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psycare Llc Po Box 38598 Germantown TN 38183-0598 Ph: (901) 480-8225 | Psycare Llc 8356 Silverwind Dr Memphis TN 38125-0767 Ph: (901) 480-8225 |
| NPI Number | 1851870778 |
|---|---|
| Provider Enumeration Date | 08/10/2018 |
| Last Update Date | 08/10/2018 |
| Medicare PECOS PAC ID | 5496094765 |
|---|---|
| Medicare Enrollment ID | O20190304002101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851870778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 12489 (Tennessee) | Primary |
| Provider Name | Laurie Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063693893 PECOS PAC ID: 9133200363 Enrollment ID: I20080114000713 |
| Provider Name | Carolyn S Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346496379 PECOS PAC ID: 2769521301 Enrollment ID: I20091120000241 |
| Provider Name | Radwan R Khuri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578530036 PECOS PAC ID: 8729989926 Enrollment ID: I20100421000461 |
| Provider Name | Christine C Hasselle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457330763 PECOS PAC ID: 0840475117 Enrollment ID: I20110502000118 |
| Provider Name | Allyson B Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407115579 PECOS PAC ID: 0143485219 Enrollment ID: I20120625000067 |
| Provider Name | Shanna Shackelford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720639172 PECOS PAC ID: 1355779711 Enrollment ID: I20200317002651 |
| Provider Name | Alexandra K Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245531987 PECOS PAC ID: 3971779091 Enrollment ID: I20211119002525 |
| Provider Name | Morgan Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457008567 PECOS PAC ID: 0749677813 Enrollment ID: I20220420002630 |
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