Provider Demographics
NPI:1235896853
Name:DRH PSYCHIATRY LLC
Entity type:Organization
Organization Name:DRH PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:319-481-8077
Mailing Address - Street 1:3159 10TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-6627
Mailing Address - Country:US
Mailing Address - Phone:319-481-8077
Mailing Address - Fax:
Practice Address - Street 1:1655 S BLUE ISLAND AVE STE 382
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-2133
Practice Address - Country:US
Practice Address - Phone:319-481-8077
Practice Address - Fax:318-242-7958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-18
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty