Provider Demographics
NPI:1497383152
Name:INPATIENT PSYCHOLOGY SOLUTIONS LLC
Entity type:Organization
Organization Name:INPATIENT PSYCHOLOGY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:B
Authorized Official - Last Name:HERTZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-346-6445
Mailing Address - Street 1:1265 INTERSTATE PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-6481
Mailing Address - Country:US
Mailing Address - Phone:706-204-1366
Mailing Address - Fax:
Practice Address - Street 1:1265 INTERSTATE PKWY STE B
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6481
Practice Address - Country:US
Practice Address - Phone:706-204-1366
Practice Address - Fax:855-264-6670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-30
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty