Psychiatric Professional Services Pa in Winter Park - Psychiatry
Psychiatric Professional Services Pa - NPI 1518020775
Psychiatric Professional Services Pa is a Psychiatry in Winter Park, Florida. Psychiatric Professional Services Pa practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Psychiatric Professional Services Pa is 1518020775. The last update date is 2008-01-16.
Psychiatric Professional Services Pa's current location address is 2180 N Park Ave, Winter Park, Florida. You can contact this provider via phone number 4076296440 and fax number 4076295766. The mailing address for Psychiatric Professional Services Pa is 2180 N Park Ave, Winter Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psychiatric Professional Services Pa |
|---|---|
| Address | 2180 N Park Ave, Winter Park, Florida |
| Phone Number | 4076296440 |
| Fax Number | 4076295766 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Blankemeier Louis John |
| Credentials | MD |
| Telephone Number | 4076296440 |
NPI Number Detail
| NPI Number | 1518020775 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2008-01-16 |
Provider Mailing Address Detail
| Address | 2180 N Park Ave |
|---|---|
| City | Winter Park |
| State | Florida (FL) |
| Post Code | 327892358 |
| Phone Number | 4076296440 |
| Fax Number | 4076295766 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | ME0050631 |
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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 identification code assigned to Psychiatric Professional Services Pa by the Centers for Medicare & Medicaid Services?
The Psychiatric Professional Services Pa has been issued the NPI (National Provider Identifier) 1518020775. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Psychiatric Professional Services Pa?
The Psychiatric Professional Services Pa is physically situated at 2180 N Park Ave, in the city of Winter Park, state of FL, with the postal code 327892358.
What is Psychiatric Professional Services Pa'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 Psychiatric Professional Services Pa is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518020775 to Psychiatric Professional Services Pa?
The Centers for Medicare & Medicaid Services originally issued the 1518020775 to Psychiatric Professional Services Pa on 2006-12-19.
When was the information related to Psychiatric Professional Services Pa most recently updated or refreshed?
The details pertaining to the Psychiatric Professional Services Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-16.