Provider Demographics
NPI:1861770760
Name:ADVANCED PSYCHIATRIC SOLUTIONS PLLC
Entity type:Organization
Organization Name:ADVANCED PSYCHIATRIC SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHERYE
Authorized Official - Middle Name:C
Authorized Official - Last Name:CALLEGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PLLC
Authorized Official - Phone:817-310-0922
Mailing Address - Street 1:1245 S MAIN ST
Mailing Address - Street 2:STE 120
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-7518
Mailing Address - Country:US
Mailing Address - Phone:817-310-0922
Mailing Address - Fax:817-310-0910
Practice Address - Street 1:1245 S MAIN ST
Practice Address - Street 2:STE 120
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-7518
Practice Address - Country:US
Practice Address - Phone:817-310-0922
Practice Address - Fax:817-310-0910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty