New Behavioral Medicine Llc in Appleton - Psychiatry
New Behavioral Medicine Llc - NPI 1619134137
New Behavioral Medicine Llc is a Psychiatry in Appleton, Wisconsin. New Behavioral Medicine Llc practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for New Behavioral Medicine Llc is 1619134137. The last update date is 2008-05-21.
New Behavioral Medicine Llc's current location address is 200 E Washington St, Appleton, Wisconsin. You can contact this provider via phone number 9209961345 and fax number 9207390124. The mailing address for New Behavioral Medicine Llc is 200 E Washington St, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | New Behavioral Medicine Llc |
|---|---|
| Address | 200 E Washington St, Appleton, Wisconsin |
| Phone Number | 9209961345 |
| Fax Number | 9207390124 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Thomas W Jonathan |
| Credentials | M.D. |
| Telephone Number | 9209961345 |
NPI Number Detail
| NPI Number | 1619134137 |
|---|---|
| Provider Enumeration Date | 2008-05-21 |
| Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
| Address | 200 E Washington St |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549115490 |
| Phone Number | 9209961345 |
| Fax Number | 9207390124 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
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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 New Behavioral Medicine Llc's 1619134137?
The New Behavioral Medicine Llc's NPI (National Provider Identifier) Number is 1619134137. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of New Behavioral Medicine Llc?
The New Behavioral Medicine Llc is situated at 200 E Washington St, in the city of Appleton, state of WI, with the zip code 549115490.
What is New Behavioral Medicine Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The New Behavioral Medicine Llc's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619134137 to New Behavioral Medicine Llc?
The Centers for Medicare & Medicaid Services originally issued the 1619134137 to New Behavioral Medicine Llc on 2008-05-21.
When was the information regarding New Behavioral Medicine Llc most recently updated?
The details pertaining to the New Behavioral Medicine Llc, including its address, specialty, and other relevant information, were last refreshed on 2008-05-21.