Derek Gavin Vines in Burlington - Psychiatry
Derek Gavin Vines - NPI 1720122203
Derek Gavin Vines is a Psychiatry in Burlington, Vermont. Derek Gavin Vines practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Derek Gavin Vines is 1720122203. The last update date is 2012-05-18.
Derek Gavin Vines's current location address is 300 Flynn Ave, Burlington, Vermont. You can contact this provider via phone number 8024886300. The mailing address for Derek Gavin Vines is 300 Flynn Ave, Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Gavin Vines |
|---|---|
| Address | 300 Flynn Ave, Burlington, Vermont |
| Phone Number | 8024886300 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1720122203 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2012-05-18 |
Provider Mailing Address Detail
| Address | 300 Flynn Ave |
|---|---|
| City | Burlington |
| State | Vermont (VT) |
| Post Code | 54015301 |
| Phone Number | 8024886300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 042-0011437 |
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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 identifier code issued to Derek Gavin Vines by the Centers for Medicare & Medicaid Services?
The Derek Gavin Vines has been assigned the NPI (National Provider Identifier) 1720122203. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Derek Gavin Vines's facilities are geographically located?
The facilities of Derek Gavin Vines are physically situated at the following location: 300 Flynn Ave, Burlington, VT, 54015301.
What is the Derek Gavin Vines's area of specialization and corresponding taxonomy classification?
The Derek Gavin Vines'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 Centers for Medicare & Medicaid Services issue the 1720122203 to Derek Gavin Vines?
The Derek Gavin Vines received its 1720122203 assignment from the Centers for Medicare & Medicaid Services on 2007-02-16.
As of what date were the Derek Gavin Vines's details last updated?
The information pertaining to the Derek Gavin Vines, including its address, specialty, and other details, was most recently updated on 2012-05-18.