Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jetty Psychiatric Services LLC

Organization Geriatric Psychiatry Physician · NPI 1750576815

Jetty Psychiatric Services LLC is a Geriatric Psychiatry Physician in Birmingham, Alabama. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

401 Tuscaloosa Ave SW Ste 110
Birmingham, AL 35211-1416
Phone: (205) 785-2000
Fax: (205) 785-2945
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Psychiatry Physician (primary) Taxonomy 2084P0805X

Record details

NPI number1750576815
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Praveen Jetty — Owner/M.D. · (205) 785-2000
NPI enumeratedSeptember 12, 2007
Last updated in NPPESSeptember 12, 2007
Mailing addressPo Box 382664, Birmingham, AL 35238-2664

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