Chameleon Group in Madison - Clinical

Chameleon Group - NPI 1043406978

Chameleon Group is a Clinical in Madison, Wisconsin. Chameleon Group practices all healthcare services and medical treatments related to Clinical. The NPI Number for Chameleon Group is 1043406978. The last update date is 2015-11-17.

Chameleon Group's current location address is 1210 Fourier Drive, Madison, Wisconsin. You can contact this provider via phone number 6086629327 and fax number 6086629041. The mailing address for Chameleon Group is 1210 Fourier Drive, Madison, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Chameleon Group
Address 1210 Fourier Drive, Madison, Wisconsin
Phone Number 6086629327
Fax Number 6086629041
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Schutt-Chardon Lauree Kim
Telephone Number 6086629327

NPI Number Detail

NPI Number 1043406978
Provider Enumeration Date 2007-09-25
Last Updated Date 2015-11-17

Provider Mailing Address Detail

Address 1210 Fourier Drive
City Madison
State Wisconsin (WI)
Post Code 537171969
Phone Number 6086629327
Fax Number 6086629041

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No HFS 61.91
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
42223400 WI --

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FAQs about Chameleon Group

What is the unique 10-digit identifier code issued to Chameleon Group by the Centers for Medicare & Medicaid Services?

The Chameleon Group has been assigned the NPI (National Provider Identifier) 1043406978 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Chameleon Group located?

The Chameleon Group is located at 1210 Fourier Drive, Madison, WI 537171969.

What is Chameleon Group's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Chameleon Group is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1043406978 to Chameleon Group?

The Chameleon Group received its 1043406978 assignment from the Centers for Medicare & Medicaid Services on 2007-09-25.

As of what date were the details related to Chameleon Group most recently updated or revised?

The information pertaining to Chameleon Group, including its address, specialty, and other relevant details, was last updated or revised on 2015-11-17.

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