John W Ringwald is a Clinical in New Haven, Connecticut. John W Ringwald practices all healthcare services and medical treatments related to Clinical. The NPI Number for John W Ringwald is 1467501502. The last update date is 2011-11-02.
John W Ringwald's current location address is 400 Prospect St, New Haven, Connecticut. You can contact this provider via phone number 2037764910. The mailing address for John W Ringwald is 400 Prospect St, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John W Ringwald |
|---|---|
| Address | 400 Prospect St, New Haven, Connecticut |
| Phone Number | 2037764910 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1467501502 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2011-11-02 |
Provider Mailing Address Detail
| Address | 400 Prospect St |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65112181 |
| Phone Number | 2037764910 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 570 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 060000570CT01 | CT | ANTHEM BLUE CROSS | |
| 133621 | CT | HEALTH NET OF CT |
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What is the unique identification code assigned to John W Ringwald by the Centers for Medicare & Medicaid Services?
The John W Ringwald has been issued the NPI (National Provider Identifier) 1467501502. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John W Ringwald's physical address?
The John W Ringwald is physically located at 400 Prospect St, in the city of New Haven, CT, with the postal code 65112181.
What is the John W Ringwald's specialty and taxonomy code?
The John W Ringwald's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did John W Ringwald receive its 1467501502 assignment from the Centers for Medicare & Medicaid Services?
The John W Ringwald was assigned its 1467501502 on 2007-01-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to John W Ringwald most recently updated or revised?
The details related to John W Ringwald, including its address, specialty, and other relevant information, were last updated or revised on 2011-11-02.
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