Baddigam Family Psychiatric Assoc in Clinton Twp - Clinical Child & Adolescent

Baddigam Family Psychiatric Assoc - NPI 1033393442

Baddigam Family Psychiatric Assoc is a Clinical Child & Adolescent in Clinton Twp, Michigan. Baddigam Family Psychiatric Assoc practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Baddigam Family Psychiatric Assoc is 1033393442. The last update date is 2007-12-20.

Baddigam Family Psychiatric Assoc's current location address is 15500 19 Mile Rd, Clinton Twp, Michigan. You can contact this provider via phone number 5862636812. The mailing address for Baddigam Family Psychiatric Assoc is 15500 19 Mile Rd, Clinton Twp, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Baddigam Family Psychiatric Assoc
Address 15500 19 Mile Rd, Clinton Twp, Michigan
Phone Number 5862636812
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Baddigam Prameela
Credentials MD
Telephone Number 5862636812

NPI Number Detail

NPI Number 1033393442
Provider Enumeration Date 2007-12-20
Last Updated Date 2007-12-20

Provider Mailing Address Detail

Address 15500 19 Mile Rd
City Clinton Twp
State Michigan (MI)
Post Code 480386330
Phone Number 5862636812
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MC012228 MI LIC
4769047 MI --
4769056 MI --
JT007751 MI LIC
0E02096 MI BCBSM

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FAQs about Baddigam Family Psychiatric Assoc

What is the unique 10-digit identification code assigned to Baddigam Family Psychiatric Assoc by the Centers for Medicare & Medicaid Services?

The Baddigam Family Psychiatric Assoc has been issued the NPI (National Provider Identifier) 1033393442, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Baddigam Family Psychiatric Assoc is physically located?

The Baddigam Family Psychiatric Assoc is situated at the following address: 15500 19 Mile Rd, Clinton Twp, MI 480386330.

What is Baddigam Family Psychiatric Assoc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Baddigam Family Psychiatric Assoc's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.

On what date did Baddigam Family Psychiatric Assoc receive its 1033393442 assignment from the Centers for Medicare & Medicaid Services?

The Baddigam Family Psychiatric Assoc was assigned its 1033393442 on 2007-12-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Baddigam Family Psychiatric Assoc most recently updated?

The details pertaining to the Baddigam Family Psychiatric Assoc, including its address, specialty, and other relevant information, were last refreshed on 2007-12-20.

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