David Pellegrino in Randolph - Mental Health
David Pellegrino - NPI 1023194925
David Pellegrino is a Mental Health in Randolph, Vermont. David Pellegrino practices all healthcare services and medical treatments related to Mental Health. The NPI Number for David Pellegrino is 1023194925. The last update date is 2007-07-09.
David Pellegrino's current location address is 11 S Main St, Randolph, Vermont. You can contact this provider via phone number 8027284466 and fax number 8027284197. The mailing address for David Pellegrino is 11 S Main St, Randolph, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Pellegrino |
|---|---|
| Address | 11 S Main St, Randolph, Vermont |
| Phone Number | 8027284466 |
| Fax Number | 8027284197 |
| Sole Proprietor | Y |
| Credentials | LCMHC |
NPI Number Detail
| NPI Number | 1023194925 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 11 S Main St |
|---|---|
| City | Randolph |
| State | Vermont (VT) |
| Post Code | 50601330 |
| Phone Number | 8027284466 |
| Fax Number | 8027284197 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 068-0000170 |
|
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 |
|---|---|---|---|
| 1007038 | VT | -- | |
| 19428 | VT | BLUE CROSS | |
| 14Y001678VT01 | VT | ANTHEM | |
| 1041581 | VT | CIGNA |
Post Comment/ Review Below
What is the unique identifier code issued to David Pellegrino by the Centers for Medicare & Medicaid Services (CMS)?
The David Pellegrino has been assigned the NPI (National Provider Identifier) 1023194925. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the David Pellegrino's physical address?
The David Pellegrino is physically located at 11 S Main St, in the city of Randolph, VT, with the postal code 50601330.
What is David Pellegrino's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for David Pellegrino is Mental Health, and the taxonomy code that categorizes this field of expertise is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023194925 to David Pellegrino?
The Centers for Medicare & Medicaid Services assigned the 1023194925 to David Pellegrino on 2006-10-31.
When was the information related to David Pellegrino most recently updated or refreshed?
The details pertaining to the David Pellegrino, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
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