| Psychiatric Management Services | |
|
2725 Enterprise Dr Anderson IN 46013-9670 | |
| (317) 870-1553 | |
| (317) 757-8491 |
| Full Name | Psychiatric Management Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2725 Enterprise Dr, Anderson, Indiana |
| Authorized Official Name and Position | Morris D Long (CEO) |
| Authorized Official Contact | 5743393021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Management Services 8465 Keystone Xing Suite 210 Indianapolis IN 46240-4355 Ph: (317) 870-1396 | Psychiatric Management Services 2725 Enterprise Dr Anderson IN 46013-9670 Ph: (317) 870-1553 |
| NPI Number | 1942677281 |
|---|---|
| Provider Enumeration Date | 08/21/2015 |
| Last Update Date | 12/05/2016 |
| Medicare PECOS PAC ID | 7618285057 |
|---|---|
| Medicare Enrollment ID | O20151005000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942677281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01038074A (Indiana) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | 28076787A (Indiana) | Secondary |
| Provider Name | Steven Schneider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871559385 PECOS PAC ID: 0446225635 Enrollment ID: I20041110000789 |
| Provider Name | Tina R Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962595223 PECOS PAC ID: 4385747054 Enrollment ID: I20070319000051 |
| Provider Name | Jeremy T Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053379644 PECOS PAC ID: 8729143615 Enrollment ID: I20090706000135 |
| Provider Name | Pamela Kinder Fountain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194955757 PECOS PAC ID: 3173651619 Enrollment ID: I20100504000806 |
| Provider Name | Rose C Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396080024 PECOS PAC ID: 7911152905 Enrollment ID: I20130222000358 |
| Provider Name | Natalie S Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730429994 PECOS PAC ID: 4082851464 Enrollment ID: I20130501000467 |
| Provider Name | Jennifer Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164831509 PECOS PAC ID: 9234451493 Enrollment ID: I20141125002378 |
| Provider Name | Crystal D Wiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831578970 PECOS PAC ID: 3577878263 Enrollment ID: I20150810001606 |
| Provider Name | Tina R Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548626229 PECOS PAC ID: 6204130388 Enrollment ID: I20160210001354 |
| Provider Name | James Schrettenbrunner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437625803 PECOS PAC ID: 9032455167 Enrollment ID: I20190110003014 |
| Provider Name | Ayee Bleemie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457975740 PECOS PAC ID: 6002238151 Enrollment ID: I20200619000349 |
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