Jacquelyn Kay Green in Pacoima - Psychiatry
Jacquelyn Kay Green - NPI 1447381512
Jacquelyn Kay Green is a Psychiatry in Pacoima, California. Jacquelyn Kay Green practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jacquelyn Kay Green is 1447381512. The last update date is 2007-07-08.
Jacquelyn Kay Green's current location address is 12450 Van Nuys Blvd, Pacoima, California. You can contact this provider via phone number 8188968366 and fax number 8188968392. The mailing address for Jacquelyn Kay Green is 12450 Van Nuys Blvd, Pacoima, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jacquelyn Kay Green |
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Address | 12450 Van Nuys Blvd, Pacoima, California |
Phone Number | 8188968366 |
Fax Number | 8188968392 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1447381512 |
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Provider Enumeration Date | 2007-03-08 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 12450 Van Nuys Blvd |
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City | Pacoima |
State | California (CA) |
Post Code | 913311391 |
Phone Number | 8188968366 |
Fax Number | 8188968392 |
Provider's Primary Taxonomy Detail
Speciality | Psychiatry |
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Taxonomy | 2084P0800X |
Licence No | A23900 |
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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00HH334 | CA | EMPLOYEE I D NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jacquelyn Kay Green by the Centers for Medicare & Medicaid Services?
The Jacquelyn Kay Green has been issued the NPI (National Provider Identifier) 1447381512 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jacquelyn Kay Green's facilities are situated?
The facilities of Jacquelyn Kay Green are physically located at the following address: 12450 Van Nuys Blvd, Pacoima, CA, 913311391.
What is Jacquelyn Kay Green's area of expertise and its corresponding taxonomy classification?
The Jacquelyn Kay Green's field of specialization is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jacquelyn Kay Green receive its 1447381512 assignment from the Centers for Medicare & Medicaid Services?
The Jacquelyn Kay Green was assigned its 1447381512 by the Centers for Medicare & Medicaid Services on 2007-03-08.
When was the information regarding Jacquelyn Kay Green, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacquelyn Kay Green, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC