| Radnor Psychiatric Group | |
|
5123 Virginia Way Suite C-11 Brentwood TN 37027-7519 | |
| (615) 373-5205 | |
| (615) 373-5165 |
| Full Name | Radnor Psychiatric Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5123 Virginia Way, Brentwood, Tennessee |
| Authorized Official Name and Position | Richard Earle Rochester (OWNER) |
| Authorized Official Contact | 6153735205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Radnor Psychiatric Group 5123 Virginia Way Suite C-11 Brentwood TN 37027-7519 Ph: (615) 373-5205 | Radnor Psychiatric Group 5123 Virginia Way Suite C-11 Brentwood TN 37027-7519 Ph: (615) 373-5205 |
| NPI Number | 1437262854 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 06/02/2021 |
| Certification Date | 06/02/2021 |
| Medicare PECOS PAC ID | 6406954114 |
|---|---|
| Medicare Enrollment ID | O20070604000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437262854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 18782 (Tennessee) | Primary |
| Provider Name | Richard E Rochester |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902802523 PECOS PAC ID: 2668496894 Enrollment ID: I20070604000640 |
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