Provider Demographics
NPI:1215483516
Name:NEUROPSYCHIATRY CENTERS LLC
Entity type:Organization
Organization Name:NEUROPSYCHIATRY CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:PRITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DHUNGANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-241-9282
Mailing Address - Street 1:835 OAKLEY SEAVER DR
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1968
Mailing Address - Country:US
Mailing Address - Phone:352-330-2020
Mailing Address - Fax:352-360-6582
Practice Address - Street 1:809 COUNTY ROAD 466 STE 101-C
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159
Practice Address - Country:US
Practice Address - Phone:352-330-2020
Practice Address - Fax:352-360-6582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty