NPI age
11 years
Enumerated 2015-04-15
● Active Type 2 · Organization
Psych Practice Llc
Psych Practice Llc is 1 of 2449 community/behavioral health organizations in Georgia.
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Khan
Ceo/ M.D
Last NPPES update
2015-04-15
Source: monthly bulk 2026-05
How this organization compares
Across 2449 active community/behavioral health providers in Georgia.
NPI age
11 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-04Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
410 Shirley Ave
Douglas, GA 315332002
Mailing address
410 Shirley Ave
Douglas, GA 315332002
Authorized official
Mubbashir M Khan, M.D
Ceo/ M.D
📞 9122601206
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Mubbashir Khan, MD Psychiatry & Neurology NPI 1871639237
Specialties
-
Community/Behavioral Health PrimaryA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003120037D |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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