Matrix Health Systems P.C. in Burlington - Clinical
Matrix Health Systems P.C. - NPI 1104872712
Matrix Health Systems P.C. is a Clinical in Burlington, Vermont. Matrix Health Systems P.C. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Matrix Health Systems P.C. is 1104872712. The last update date is 2014-11-21.
Matrix Health Systems P.C.'s current location address is 86 Lake St, Burlington, Vermont. You can contact this provider via phone number 8028653450 and fax number 8028605011. The mailing address for Matrix Health Systems P.C. is 86 Lake St, Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Matrix Health Systems P.C. |
|---|---|
| Address | 86 Lake St, Burlington, Vermont |
| Phone Number | 8028653450 |
| Fax Number | 8028605011 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Fassler David |
| Credentials | M.D. |
| Telephone Number | 8028653450 |
NPI Number Detail
| NPI Number | 1104872712 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2014-11-21 |
Provider Mailing Address Detail
| Address | 86 Lake St |
|---|---|
| City | Burlington |
| State | Vermont (VT) |
| Post Code | 54015297 |
| Phone Number | 8028653450 |
| Fax Number | 8028605011 |
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 |
|---|---|---|---|
| OVN1732 | VT | -- | |
| 2112352 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Matrix Health Systems P.C. by the Centers for Medicare & Medicaid Services?
The Matrix Health Systems P.C. has been issued the NPI (National Provider Identifier) 1104872712, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Matrix Health Systems P.C.'s physical address?
The Matrix Health Systems P.C. is physically located at 86 Lake St, in the city of Burlington, VT, with the postal code 54015297.
What is Matrix Health Systems P.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Matrix Health Systems P.C. is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Matrix Health Systems P.C. receive its 1104872712 assignment from the Centers for Medicare & Medicaid Services?
The Matrix Health Systems P.C. was assigned its 1104872712 by the Centers for Medicare & Medicaid Services on 2006-05-25.
As of what date was the information regarding Matrix Health Systems P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Matrix Health Systems P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-11-21.