Thaddeus Ronald Mogilnicki in Sandwich - Clinical

Thaddeus Ronald Mogilnicki - NPI 1992874978

Thaddeus Ronald Mogilnicki is a Clinical in Sandwich, Massachusetts. Thaddeus Ronald Mogilnicki practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thaddeus Ronald Mogilnicki is 1992874978. The last update date is 2007-07-08.

Thaddeus Ronald Mogilnicki's current location address is 12 Shawme Rd, Sandwich, Massachusetts. You can contact this provider via phone number 5088884721 and fax number 5087475209. The mailing address for Thaddeus Ronald Mogilnicki is 12 Shawme Rd, Sandwich, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Thaddeus Ronald Mogilnicki
Address 12 Shawme Rd, Sandwich, Massachusetts
Phone Number 5088884721
Fax Number 5087475209
Sole Proprietor Y
Credentials ED.D.

NPI Number Detail

NPI Number 1992874978
Provider Enumeration Date 2006-11-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12 Shawme Rd
City Sandwich
State Massachusetts (MA)
Post Code 25632336
Phone Number 5088884721
Fax Number 5087475209

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 912
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
468604 MA TUFTS
1895532 MA --
W01662 MA BC BS INDEMNITY
2168630 MA CIGNA GROUP
213380 MA NEIGHBORHOOD HEALTH GROUP
311299 MA MHN
30825 MA BOSTON MEDICAL HEALTH NET
497004 MA VAUE OPTIONS
M19000 MA BC BS HMO GROUP

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FAQs about Thaddeus Ronald Mogilnicki

What is the unique 10-digit identifier code issued to Thaddeus Ronald Mogilnicki by the Centers for Medicare & Medicaid Services?

The Thaddeus Ronald Mogilnicki has been assigned the NPI (National Provider Identifier) 1992874978 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Thaddeus Ronald Mogilnicki's facilities are geographically located?

The facilities of Thaddeus Ronald Mogilnicki are physically situated at the following location: 12 Shawme Rd, Sandwich, MA, 25632336.

What is Thaddeus Ronald Mogilnicki's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Thaddeus Ronald Mogilnicki is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

On what date was the 1992874978 assigned to Thaddeus Ronald Mogilnicki?

The Thaddeus Ronald Mogilnicki was issued its 1992874978 on 2006-11-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Thaddeus Ronald Mogilnicki most recently updated or revised?

The information pertaining to Thaddeus Ronald Mogilnicki, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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