Provider Demographics
NPI:1609624253
Name:RELIABLE PSYCHIATRY LLC
Entity type:Organization
Organization Name:RELIABLE PSYCHIATRY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABIMBOLA
Authorized Official - Middle Name:D
Authorized Official - Last Name:OLUWASESIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:317-939-1151
Mailing Address - Street 1:5455 W 86TH ST STE 270
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-1536
Mailing Address - Country:US
Mailing Address - Phone:317-939-1151
Mailing Address - Fax:
Practice Address - Street 1:5455 W 86TH ST STE 270
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-1536
Practice Address - Country:US
Practice Address - Phone:317-728-4256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty