Green Door, Inc. in Washington - Psychiatry
Green Door, Inc. - NPI 1073659140
Green Door, Inc. is a Psychiatry in Washington, District Of Columbia. Green Door, Inc. practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Green Door, Inc. is 1073659140. The last update date is 2020-08-22.
Green Door, Inc.'s current location address is 1221 Taylor St Nw, Washington, District Of Columbia. You can contact this provider via phone number 2024649200 and fax number 2024645740. The mailing address for Green Door, Inc. is 1221 Taylor St Nw, Washington, District Of Columbia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Green Door, Inc. |
---|---|
Address | 1221 Taylor St Nw, Washington, District Of Columbia |
Phone Number | 2024649200 |
Fax Number | 2024645740 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DEPUTY DIR |
---|---|
Authorized Official Name | Clancy Michael |
Telephone Number | 2024649200 |
NPI Number Detail
NPI Number | 1073659140 |
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Provider Enumeration Date | 2007-01-29 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1221 Taylor St Nw |
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City | Washington |
State | District Of Columbia (DC) |
Post Code | 200115617 |
Phone Number | 2024649200 |
Fax Number | 2024645740 |
Provider's Primary Taxonomy Detail
Speciality | Psychiatry |
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Taxonomy | 2084P0800X |
Licence No | MD33367 |
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 |
---|---|---|---|
23653 | DC | CHARTERED HEALTH PLAN | |
281810 | DC | AMERIGROUP (MEDICAID MCO) | |
5181 | DC | HEALTHRIGHT (MEDICAID MCO |
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What is the unique 10-digit identifier code issued to Green Door, Inc. by the Centers for Medicare & Medicaid Services?
The Green Door, Inc. has been assigned the NPI (National Provider Identifier) 1073659140 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Green Door, Inc.?
The Green Door, Inc. is situated at 1221 Taylor St Nw, in the city of Washington, state of DC, with the zip code 200115617.
What is the Green Door, Inc.'s area of specialization and corresponding taxonomy classification?
The Green Door, Inc.'s specialty field is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their specialties.
On what date did the Green Door, Inc. receive its 1073659140 assignment from the Centers for Medicare & Medicaid Services?
The Green Door, Inc. was assigned its 1073659140 by the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date was the information regarding Green Door, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Green Door, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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