OrganizationActive
Psimed PA
NPI 1366613663 · Psychiatry Physician · Clemmons, NC
Psimed PA is a Psychiatry Physician organization in Clemmons, NC (NPI 1366613663).
Provider details
- NPI number
- 1366613663
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Crandell, President(336) 918-4882
- License
- 23500 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2511-D Neudorf Rd
Clemmons, NC 27012
Phone: (336) 778-0506
Fax: (336) 778-0570
Street-level locationGet directions
Mailing address
Po Box 1741
Clemmons, NC 27012
Registry dates
- Enumerated
- 2008-03-14
- Last updated
- 2008-03-14
Frequently asked questions
- What is Psimed PA's NPI number?
- Psimed PA's National Provider Identifier (NPI) is 1366613663, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Psimed PA?
- Psimed PA is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Psimed PA located?
- Psimed PA's practice location on file with NPPES is 2511-D Neudorf Rd, Clemmons, NC 27012.
- What is Psimed PA's phone number?
- The practice phone number listed in the NPPES registry for Psimed PA is (336) 778-0506.
- Who is the authorized official for Psimed PA?
- The authorized official listed on Psimed PA's NPPES record is Jason Crandell, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Psimed PA's NPI active?
- Yes — Psimed PA's NPI (1366613663) is active in the NPPES registry as of the last update on 2008-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.