Provider Demographics
NPI:1023263852
Name:BAYMILLER PSYCHIATRY
Entity type:Organization
Organization Name:BAYMILLER PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:BAYMILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-482-4822
Mailing Address - Street 1:622 WEST POPLAR AVE
Mailing Address - Street 2:SUITE 5, PMB 114
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-2578
Mailing Address - Country:US
Mailing Address - Phone:901-482-4822
Mailing Address - Fax:
Practice Address - Street 1:622 WEST POPLAR AVENUE
Practice Address - Street 2:SUITE 5, PMB 114
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-2578
Practice Address - Country:US
Practice Address - Phone:901-482-4822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN369582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty