Jerad Ray Shoemaker in Sylmar - Psychiatry
Jerad Ray Shoemaker - NPI 1811150873
Jerad Ray Shoemaker is a Psychiatry in Sylmar, California. Jerad Ray Shoemaker practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jerad Ray Shoemaker is 1811150873. The last update date is 2022-11-22.
Jerad Ray Shoemaker's current location address is 14445 Olive View Drive, Sylmar, California. You can contact this provider via phone number 8183643613. The mailing address for Jerad Ray Shoemaker is 14445 Olive View Drive, Sylmar, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerad Ray Shoemaker |
|---|---|
| Address | 14445 Olive View Drive, Sylmar, California |
| Phone Number | 8183643613 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1811150873 |
|---|---|
| Provider Enumeration Date | 2008-07-09 |
| Last Updated Date | 2022-11-22 |
Provider Mailing Address Detail
| Address | 14445 Olive View Drive |
|---|---|
| City | Sylmar |
| State | California (CA) |
| Post Code | 91342 |
| Phone Number | 8183643613 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MD60303749 |
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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 |
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What is the unique 10-digit identification code assigned to Jerad Ray Shoemaker by the Centers for Medicare & Medicaid Services?
The Jerad Ray Shoemaker has been issued the NPI (National Provider Identifier) 1811150873, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jerad Ray Shoemaker's facilities are geographically located?
The facilities of Jerad Ray Shoemaker are physically situated at the following location: 14445 Olive View Drive, Sylmar, CA, 91342.
What is the Jerad Ray Shoemaker's area of specialization and corresponding taxonomy classification?
The Jerad Ray Shoemaker's specialty field is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their specialties.
On what date was the 1811150873 assigned to Jerad Ray Shoemaker?
The Jerad Ray Shoemaker was issued its 1811150873 on 2008-07-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jerad Ray Shoemaker's details last updated?
The information pertaining to the Jerad Ray Shoemaker, including its address, specialty, and other details, was most recently updated on 2022-11-22.