OrganizationActive
Psych Practice LLC
NPI 1689060790 · Community/Behavioral Health Agency · Douglas, GA
Psych Practice LLC is a Community/Behavioral Health Agency organization in Douglas, GA (NPI 1689060790).
Provider details
- NPI number
- 1689060790
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mubbashir Khan, Ceo/ M.D(912) 260-1206
- License
- 054327 (GA)
Specialties & taxonomies
Agencies
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
410 Shirley Ave
Douglas, GA 31533-2002
Phone: (912) 260-1206
Fax: (912) 383-7820
Street-level locationGet directions
Mailing address
410 Shirley Ave
Douglas, GA 31533-2002
Registry dates
- Enumerated
- 2015-04-15
- Last updated
- 2015-04-15
Frequently asked questions
- What is Psych Practice LLC's NPI number?
- Psych Practice LLC's National Provider Identifier (NPI) is 1689060790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Psych Practice LLC?
- Psych Practice LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Psych Practice LLC located?
- Psych Practice LLC's practice location on file with NPPES is 410 Shirley Ave, Douglas, GA 31533-2002.
- What is Psych Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for Psych Practice LLC is (912) 260-1206.
- Who is the authorized official for Psych Practice LLC?
- The authorized official listed on Psych Practice LLC's NPPES record is Mubbashir Khan, Ceo/ M.D. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Psych Practice LLC's NPI active?
- Yes — Psych Practice LLC's NPI (1689060790) is active in the NPPES registry as of the last update on 2015-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.