John Mckeithen in New Haven - Addiction (substance Use Disorder)
John Mckeithen - NPI 1770772576
John Mckeithen is a Addiction (substance Use Disorder) in New Haven, Connecticut. John Mckeithen practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for John Mckeithen is 1770772576. The last update date is 2022-01-24.
John Mckeithen's current location address is 1 Long Wharf Dr, New Haven, Connecticut. You can contact this provider via phone number 2037814600 and fax number 2037814624. The mailing address for John Mckeithen is 1 Long Wharf Dr, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Mckeithen |
|---|---|
| Address | 1 Long Wharf Dr, New Haven, Connecticut |
| Phone Number | 2037814600 |
| Fax Number | 2037814624 |
| Sole Proprietor | N |
| Credentials | M.ED, LPC, |
NPI Number Detail
| NPI Number | 1770772576 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2022-01-24 |
Provider Mailing Address Detail
| Address | 1 Long Wharf Dr |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65115991 |
| Phone Number | 2037814600 |
| Fax Number | 2037814624 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 631 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4082260 | CT | -- | |
| 80494436 | CT | -- | |
| 8001325 | CT | -- | |
| 8022622 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Mckeithen by the Centers for Medicare & Medicaid Services?
The John Mckeithen has been issued the NPI (National Provider Identifier) 1770772576 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of John Mckeithen?
The John Mckeithen is physically situated at 1 Long Wharf Dr, in the city of New Haven, state of CT, with the postal code 65115991.
What is John Mckeithen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Mckeithen's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did the John Mckeithen receive its 1770772576 assignment from the Centers for Medicare & Medicaid Services?
The John Mckeithen was assigned its 1770772576 by the Centers for Medicare & Medicaid Services on 2007-10-17.
As of what date were the details pertaining to John Mckeithen last refreshed?
The information related to the John Mckeithen, including its address, specialty, and other relevant details, was last updated on 2022-01-24.
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