| Psychiatric Consultants, Llc | |
|
1216 W Hunter St Logan OH 43138-1012 | |
| (740) 300-2080 | |
| (614) 522-6604 |
| Full Name | Psychiatric Consultants, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1216 W Hunter St, Logan, Ohio |
| Authorized Official Name and Position | John Aziz (OWNER) |
| Authorized Official Contact | 7406039049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Consultants, Llc Po Box 5254 Poland OH 44514-0254 Ph: (330) 520-2221 | Psychiatric Consultants, Llc 1216 W Hunter St Logan OH 43138-1012 Ph: (740) 300-2080 |
| NPI Number | 1134716236 |
|---|---|
| Provider Enumeration Date | 12/23/2020 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/19/2023 |
| Medicare PECOS PAC ID | 7214342450 |
|---|---|
| Medicare Enrollment ID | O20210219001738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134716236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | John J Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679592075 PECOS PAC ID: 4385685221 Enrollment ID: I20060918000310 |
| Provider Name | Kinsey Kay Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013502210 PECOS PAC ID: 6608279146 Enrollment ID: I20210721004138 |
| Provider Name | Kari N Buehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164069365 PECOS PAC ID: 1254794431 Enrollment ID: I20230906001638 |
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