OrganizationActive
Jetty Psychiatric Services LLC
NPI 1750576815 · Geriatric Psychiatry Physician · Birmingham, AL
Provider details
- NPI number
- 1750576815
- Entity type
- Organization
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Praveen Jetty, Owner/M.d.(205) 785-2000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 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
401 Tuscaloosa Ave Sw
Suite 110
Birmingham, AL 35211-1416
Phone: (205) 785-2000
Fax: (205) 785-2945
Street-level locationGet directions
Mailing address
Po Box 382664
Birmingham, AL 35238-2664
Registry dates
- Enumerated
- 2007-09-12
- Last updated
- 2007-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.