Roy Nisenson in New Haven - Psychologist

Roy Nisenson - NPI 1679584882

Roy Nisenson is a Psychologist in New Haven, Connecticut. Roy Nisenson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Roy Nisenson is 1679584882. The last update date is 2007-07-08.

Roy Nisenson's current location address is 28 Academy St, New Haven, Connecticut. You can contact this provider via phone number 2034978320. The mailing address for Roy Nisenson is 28 Academy St, New Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Roy Nisenson
Address 28 Academy St, New Haven, Connecticut
Phone Number 2034978320
Fax Number
Sole Proprietor Y
Credentials PHD MDIV

NPI Number Detail

NPI Number 1679584882
Provider Enumeration Date 2006-08-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 28 Academy St
City New Haven
State Connecticut (CT)
Post Code 65116930
Phone Number 2034978320
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 678
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
18704 HEALTHNET
ZS381 OXFORD
060000678CT05 CT ANTHEM
108432 VALUE OPTIONS

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FAQs about Roy Nisenson

What is the unique 10-digit identifier code assigned to Roy Nisenson by the Centers for Medicare & Medicaid Services?

The Roy Nisenson has been issued the NPI (National Provider Identifier) 1679584882 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Roy Nisenson?

The Roy Nisenson is situated at 28 Academy St, in the city of New Haven, state of CT, with the zip code 65116930.

What is the area of specialization for Roy Nisenson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Roy Nisenson is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1679584882 to Roy Nisenson?

The Roy Nisenson received its 1679584882 assignment from the Centers for Medicare & Medicaid Services on 2006-08-11.

When was the information related to Roy Nisenson most recently updated or refreshed?

The details pertaining to the Roy Nisenson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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