| Upswing Psychiatry, Pllc | |
|
1901 Medi Park Dr Ste 2058 Amarillo TX 79106-2109 | |
| (806) 354-9540 | |
| (806) 354-9588 |
| Full Name | Upswing Psychiatry, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1901 Medi Park Dr Ste 2058, Amarillo, Texas |
| Authorized Official Name and Position | James Avery Rush (OWNER) |
| Authorized Official Contact | 8063549540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upswing Psychiatry, Pllc 1901 Medi Park Dr Ste 2058 Amarillo TX 79106-2109 Ph: (806) 354-9540 | Upswing Psychiatry, Pllc 1901 Medi Park Dr Ste 2058 Amarillo TX 79106-2109 Ph: (806) 354-9540 |
| NPI Number | 1972259463 |
|---|---|
| Provider Enumeration Date | 02/23/2022 |
| Last Update Date | 04/05/2022 |
| Certification Date | 04/05/2022 |
| Medicare PECOS PAC ID | 3173919214 |
|---|---|
| Medicare Enrollment ID | O20220330000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972259463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | James Avery Rush |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992975841 PECOS PAC ID: 9436223609 Enrollment ID: I20080806000250 |
| Provider Name | Blake Henchcliffe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982191409 PECOS PAC ID: 2062848617 Enrollment ID: I20200130002011 |
| Provider Name | Rae Lynne Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225705056 PECOS PAC ID: 0345638151 Enrollment ID: I20211028000505 |
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