Fort Wayne Psychiatry. P. C.
LBN: Fort Wayne Psychiatry. P. C.
Fort Wayne Psychiatry. P. C. is an health care organization with primary practice located at 3400 E Coliseum Blvd Ste 340, Fort Wayne IN 46805-1644. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Fort Wayne Psychiatry. P. C. can be contacted via phone (260) 484-1312, or through Rustagi, Prevesh Kumar via phone (260) 484-1312.
Contact Information
Primary practice address
3400 E Coliseum Blvd Ste 340
Fort Wayne IN 46805-1644
Phone: (260) 484-1312
Fax: (260) 471-0996
Website:
Authorized official contact:
Name: Rustagi, Prevesh Kumar Doctor of Medicine (MD)
Phone: (260) 484-1312
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1427148782 |
|---|---|
| LBN Legal business name | Fort Wayne Psychiatry. P. C. |
| DBA Doing business as | |
| Authorized official | Rustagi, Prevesh Kumar Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 14th, 2006 |
| Last updated | Jan 15th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427148782 | NPPES |
| Indiana | MEDICAID | 100389780A |
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