Image Transformation Institute in Del Mar - Clinical
Image Transformation Institute - NPI 1376572438
Image Transformation Institute is a Clinical in Del Mar, California. Image Transformation Institute practices all healthcare services and medical treatments related to Clinical. The NPI Number for Image Transformation Institute is 1376572438. The last update date is 2019-06-27.
Image Transformation Institute's current location address is 1111 Klish Way, Del Mar, California. You can contact this provider via phone number 6266765942 and fax number 8587243585. The mailing address for Image Transformation Institute is 1111 Klish Way, Del Mar, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Image Transformation Institute |
|---|---|
| Address | 1111 Klish Way, Del Mar, California |
| Phone Number | 6266765942 |
| Fax Number | 8587243585 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Miller Michael Robert |
| Credentials | PH.D. |
| Telephone Number | 6264294945 |
NPI Number Detail
| NPI Number | 1376572438 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2019-06-27 |
Provider Mailing Address Detail
| Address | 1111 Klish Way |
|---|---|
| City | Del Mar |
| State | California (CA) |
| Post Code | 920142633 |
| Phone Number | 6266765942 |
| Fax Number | 8587243585 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| WCP20630A | CA | PPIN FOR ROBERT MILLER CP |
Post Comment/ Review Below
What is the unique provider identifier assigned to Image Transformation Institute?
The Image Transformation Institute has been issued the NPI (National Provider Identifier) 1376572438 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Image Transformation Institute?
The Image Transformation Institute is situated at 1111 Klish Way, in the city of Del Mar, state of CA, with the zip code 920142633.
What is Image Transformation Institute's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Image Transformation Institute's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376572438 to Image Transformation Institute?
The Centers for Medicare & Medicaid Services originally issued the 1376572438 to Image Transformation Institute on 2006-07-01.
As of what date was the information pertaining to Image Transformation Institute, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Image Transformation Institute, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-06-27.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY