Ridgewood Clinics Pa in Jackson - Mental Health
Ridgewood Clinics Pa - NPI 1023233749
Ridgewood Clinics Pa is a Mental Health in Jackson, Mississippi. Ridgewood Clinics Pa practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Ridgewood Clinics Pa is 1023233749. The last update date is 2014-08-27.
Ridgewood Clinics Pa's current location address is 1059 Ridgewood Clinic, Jackson, Mississippi. You can contact this provider via phone number 6019573211 and fax number 6019579753. The mailing address for Ridgewood Clinics Pa is 1059 Ridgewood Clinic, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ridgewood Clinics Pa |
|---|---|
| Address | 1059 Ridgewood Clinic, Jackson, Mississippi |
| Phone Number | 6019573211 |
| Fax Number | 6019579753 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Gupta K. Krishan |
| Credentials | M.D. |
| Telephone Number | 6019573211 |
NPI Number Detail
| NPI Number | 1023233749 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2014-08-27 |
Provider Mailing Address Detail
| Address | 1059 Ridgewood Clinic |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 39211 |
| Phone Number | 6019573211 |
| Fax Number | 6019579753 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 12941 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9013996 | MS | -- |
Post Comment/ Review Below
What is the Ridgewood Clinics Pa's unique identification number?
The Ridgewood Clinics Pa has been assigned the NPI (National Provider Identifier) Number 1023233749 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Ridgewood Clinics Pa's facilities are geographically located?
The facilities of Ridgewood Clinics Pa are physically situated at the following location: 1059 Ridgewood Clinic, Jackson, MS, 39211.
What is Ridgewood Clinics Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ridgewood Clinics Pa is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
When did Ridgewood Clinics Pa receive its 1023233749 assignment?
The Ridgewood Clinics Pa was assigned its 1023233749 on 2007-04-16, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Ridgewood Clinics Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ridgewood Clinics Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-08-27.
NPI Number: 1376546309
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