Crystal River Psychiatric, Grp in Wilmington - Psychiatry
Crystal River Psychiatric, Grp - NPI 1003946047
Crystal River Psychiatric, Grp is a Psychiatry in Wilmington, North Carolina. Crystal River Psychiatric, Grp practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Crystal River Psychiatric, Grp is 1003946047. The last update date is 2020-08-22.
Crystal River Psychiatric, Grp's current location address is 2595 S 17th St, Wilmington, North Carolina. You can contact this provider via phone number 9107992283 and fax number 9107919227. The mailing address for Crystal River Psychiatric, Grp is 2595 S 17th St, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crystal River Psychiatric, Grp |
|---|---|
| Address | 2595 S 17th St, Wilmington, North Carolina |
| Phone Number | 9107992283 |
| Fax Number | 9107919227 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Weinstein Harvey Robert |
| Credentials | M.D. |
| Telephone Number | 9107992283 |
NPI Number Detail
| NPI Number | 1003946047 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2595 S 17th St |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284017748 |
| Phone Number | 9107992283 |
| Fax Number | 9107919227 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 104694 |
|
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 |
|---|---|---|---|
| 8986321 | NC | WEINSTEINS MEDICAID | |
| 014J9 | NC | BCBS NC GROUP # | |
| 6107129 | NC | F.RHETT SARAVIA MEDICAID | |
| 86321 | NC | WEINSTEINS BCBS NC | |
| 201516C | NC | WEINSTEINS MEDICARE PIN |
Post Comment/ Review Below
What is the unique identifier code issued to Crystal River Psychiatric, Grp by the Centers for Medicare & Medicaid Services (CMS)?
The Crystal River Psychiatric, Grp has been assigned the NPI (National Provider Identifier) 1003946047. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Crystal River Psychiatric, Grp is located?
The Crystal River Psychiatric, Grp is situated at the following address: 2595 S 17Th St, Wilmington, NC, 284017748.
What is Crystal River Psychiatric, Grp's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Crystal River Psychiatric, Grp is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.
On what date did the Crystal River Psychiatric, Grp receive its 1003946047 assignment from the Centers for Medicare & Medicaid Services?
The Crystal River Psychiatric, Grp was assigned its 1003946047 by the Centers for Medicare & Medicaid Services on 2007-03-07.
When was the Crystal River Psychiatric, Grp's information last updated?
The Crystal River Psychiatric, Grp's information was last updated on 2020-08-22.