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

Professional Psychiatric Services, LLC

Organization Psychiatry Physician · NPI 1407166077

Professional Psychiatric Services, LLC is a Psychiatry Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2010.

Licensed in
IN
In the registry since
2010
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

6203 Constitution Dr
Fort Wayne, IN 46804-1517
Phone: (260) 969-9696
Fax: (260) 969-7979
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X (IN)

Record details

NPI number1407166077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official S. Shim — President · (260) 615-1216
NPI enumeratedOctober 18, 2010
Last updated in NPPESFebruary 1, 2013
Mailing address11012 W Sycamore Hills Dr, Fort Wayne, IN 46814-9308

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