Mika Nitta is a Clinical in Worcester, Massachusetts. Mika Nitta practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mika Nitta is 1629123062. The last update date is 2015-10-05.
Mika Nitta's current location address is 72 Jaques Avenue, Worcester, Massachusetts. You can contact this provider via phone number 5083737964. The mailing address for Mika Nitta is 72 Jaques Avenue, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mika Nitta |
|---|---|
| Address | 72 Jaques Avenue, Worcester, Massachusetts |
| Phone Number | 5083737964 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1629123062 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2015-10-05 |
Provider Mailing Address Detail
| Address | 72 Jaques Avenue |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16102480 |
| Phone Number | 5083737964 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 10150 |
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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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What is the unique identifier code issued to Mika Nitta by the Centers for Medicare & Medicaid Services (CMS)?
The Mika Nitta has been assigned the NPI (National Provider Identifier) 1629123062. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Mika Nitta?
The Mika Nitta is physically situated at 72 Jaques Avenue, in the city of Worcester, state of MA, with the postal code 16102480.
What is the Mika Nitta's area of specialization and corresponding taxonomy classification?
The Mika Nitta's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When was the Mika Nitta's 1629123062 issued?
The Mika Nitta's 1629123062 was issued on 2007-01-24.
As of what date were the Mika Nitta's details last updated?
The information pertaining to the Mika Nitta, including its address, specialty, and other details, was most recently updated on 2015-10-05.