Provider Demographics
NPI:1417570995
Name:SB PSYCHIATRY PLLC
Entity type:Organization
Organization Name:SB PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAYANTI
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATTACHARYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-360-3691
Mailing Address - Street 1:208 FEW CIR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-7372
Mailing Address - Country:US
Mailing Address - Phone:919-360-3691
Mailing Address - Fax:
Practice Address - Street 1:55 VILCOM CENTER DR STE 230
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1690
Practice Address - Country:US
Practice Address - Phone:919-590-3530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health