Vericare Of California Medical Group in Old Lyme - Clinical
Vericare Of California Medical Group - NPI 1316992829
Vericare Of California Medical Group is a Clinical in Old Lyme, Connecticut. Vericare Of California Medical Group practices all healthcare services and medical treatments related to Clinical. The NPI Number for Vericare Of California Medical Group is 1316992829. The last update date is 2017-07-10.
Vericare Of California Medical Group's current location address is 55 Hatchetts Hill Rd, Old Lyme, Connecticut. You can contact this provider via phone number 8003703651 and fax number 8775157147. The mailing address for Vericare Of California Medical Group is 55 Hatchetts Hill Rd, Old Lyme, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vericare Of California Medical Group |
|---|---|
| Address | 55 Hatchetts Hill Rd, Old Lyme, Connecticut |
| Phone Number | 8003703651 |
| Fax Number | 8775157147 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR, |
|---|---|
| Authorized Official Name | King Melissa |
| Telephone Number | 8003703651 |
NPI Number Detail
| NPI Number | 1316992829 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2017-07-10 |
Provider Mailing Address Detail
| Address | 55 Hatchetts Hill Rd |
|---|---|
| City | Old Lyme |
| State | Connecticut (CT) |
| Post Code | 63711534 |
| Phone Number | 8003703651 |
| Fax Number | 8775157147 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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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 |
|---|---|---|---|
| CC7816 | CA | RAILROAD MEDICARE | |
| GPS000150 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Vericare Of California Medical Group by the Centers for Medicare & Medicaid Services?
The Vericare Of California Medical Group has been issued the NPI (National Provider Identifier) 1316992829 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Vericare Of California Medical Group located?
The Vericare Of California Medical Group is located at 55 Hatchetts Hill Rd, Old Lyme, CT 63711534.
What is Vericare Of California Medical Group's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Vericare Of California Medical Group is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Vericare Of California Medical Group receive its 1316992829 assignment from the Centers for Medicare & Medicaid Services?
The Vericare Of California Medical Group was assigned its 1316992829 by the Centers for Medicare & Medicaid Services on 2006-05-23.
When was the information pertaining to Vericare Of California Medical Group most recently updated or revised?
The details related to Vericare Of California Medical Group, including its address, specialty, and other relevant information, were last updated or revised on 2017-07-10.