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Jetty Psychiatric Services LLC

Geriatric Psychiatry Physician in Birmingham, AL · enumerated 2007 · authorized official Praveen Jetty, Owner/M.D..

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

National Provider Identifier

1750576815

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Registry record

Entity type Organization (Type 2)
Legal business name Jetty Psychiatric Services LLC
Practice address 401 Tuscaloosa Ave Sw, Suite 110, Birmingham, AL, 35211
Fax (205) 785-2945
Enumeration date Sep 12, 2007
Last updated in NPPES Sep 12, 2007

Taxonomy & classification

2084P0805X Geriatric Psychiatry Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Praveen Jetty
Title Owner/M.D.

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-09-12. Verify at npiregistry.cms.hhs.gov.
Where is Jetty Psychiatric Services LLC located?
The practice location on file with NPPES is in Birmingham, AL.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-09-12.