Vericare Of California Medical Group in Old Lyme - Clinical
Vericare Of California Medical Group - NPI 1538114053
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 1538114053. 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 | 1538114053 |
|---|---|
| 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 |
|---|---|---|---|
| CH5753 | CA | RAIL ROAD MEDICARE | |
| GPS000150 | CA | -- |
Post Comment/ Review Below
What is the unique identification 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) 1538114053. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Vericare Of California Medical Group?
The Vericare Of California Medical Group is physically situated at 55 Hatchetts Hill Rd, in the city of Old Lyme, state of CT, with the postal code 63711534.
What is the Vericare Of California Medical Group's specialty and taxonomy code?
The Vericare Of California Medical Group's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Vericare Of California Medical Group receive the assignment of its 1538114053 from the Centers for Medicare & Medicaid Services?
The Vericare Of California Medical Group was issued its 1538114053 by the Centers for Medicare & Medicaid Services on 2006-05-23.
As of what date were the details related to Vericare Of California Medical Group most recently updated or revised?
The information pertaining to Vericare Of California Medical Group, including its address, specialty, and other relevant details, was last updated or revised on 2017-07-10.
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