John Burbank in Portsmouth - Mental Health

John Burbank - NPI 1619041274

John Burbank is a Mental Health in Portsmouth, New Hampshire. John Burbank practices all healthcare services and medical treatments related to Mental Health. The NPI Number for John Burbank is 1619041274. The last update date is 2007-07-08.

John Burbank's current location address is 1145 Sagamore Ave, Portsmouth, New Hampshire. You can contact this provider via phone number 6034316703 and fax number 6034303753. The mailing address for John Burbank is 1145 Sagamore Ave, Portsmouth, New Hampshire. To know further, please read the information below!

Provider Profile Detail

Provider Name John Burbank
Address 1145 Sagamore Ave, Portsmouth, New Hampshire
Phone Number 6034316703
Fax Number 6034303753
Sole Proprietor N
Credentials M.ED, LCMH

NPI Number Detail

NPI Number 1619041274
Provider Enumeration Date 2006-11-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1145 Sagamore Ave
City Portsmouth
State New Hampshire (NH)
Post Code 38015585
Phone Number 6034316703
Fax Number 6034303753

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 294
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7706655Y0NH01 NH BHN
99003227 NH --

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FAQs about John Burbank

What is the unique identification code assigned to John Burbank by the Centers for Medicare & Medicaid Services?

The John Burbank has been issued the NPI (National Provider Identifier) 1619041274. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where John Burbank's facilities are geographically located?

The facilities of John Burbank are physically situated at the following location: 1145 Sagamore Ave, Portsmouth, NH, 38015585.

What is John Burbank's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John Burbank's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.

On what date did John Burbank receive its 1619041274 assignment from the Centers for Medicare & Medicaid Services?

The John Burbank was assigned its 1619041274 on 2006-11-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to John Burbank last refreshed?

The information related to the John Burbank, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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