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Fort Wayne Psychiatry. P. C.

Psychiatry Physician in Fort Wayne, IN · enumerated 2006 · authorized official Prevesh Rustagi, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1427148782

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Registry record

Entity type Organization (Type 2)
Legal business name Fort Wayne Psychiatry. P. C.
Practice address 3400 E Coliseum Blvd, Ste 340, Fort Wayne, IN, 46805
Fax (260) 471-0996
Enumeration date Oct 14, 2006
Last updated in NPPES Jan 15, 2017

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary

Authorized official

Name Prevesh Rustagi
Title President

Other identifiers

Identifier Type State Issuer
100389780A Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Fort Wayne Psychiatry. P. C. located?
The practice location on file with NPPES is in Fort Wayne, IN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-01-15. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-15.