Mark Jerome Collins in Prescott Valley - Child & Adolescent Psychiatry
Mark Jerome Collins - NPI 1295747368
Mark Jerome Collins is a Child & Adolescent Psychiatry in Prescott Valley, Arizona. Mark Jerome Collins practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Mark Jerome Collins is 1295747368. The last update date is 2016-05-25.
Mark Jerome Collins's current location address is 5940 E Copper Hill Dr, Prescott Valley, Arizona. You can contact this provider via phone number 7023792227. The mailing address for Mark Jerome Collins is 5940 E Copper Hill Dr, Prescott Valley, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Jerome Collins |
|---|---|
| Address | 5940 E Copper Hill Dr, Prescott Valley, Arizona |
| Phone Number | 7023792227 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1295747368 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2016-05-25 |
Provider Mailing Address Detail
| Address | 5940 E Copper Hill Dr |
|---|---|
| City | Prescott Valley |
| State | Arizona (AZ) |
| Post Code | 863142860 |
| Phone Number | 7023792227 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 4145 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W-416 | CA | MEDICARE PTAN | |
| 2019797 | NV | -- |
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What is the unique identification code assigned to Mark Jerome Collins by the Centers for Medicare & Medicaid Services?
The Mark Jerome Collins has been issued the NPI (National Provider Identifier) 1295747368. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark Jerome Collins's physical address?
The Mark Jerome Collins is physically located at 5940 E Copper Hill Dr, in the city of Prescott Valley, AZ, with the postal code 863142860.
What is Mark Jerome Collins's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Jerome Collins's area of specialization is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0804X.
When was the Mark Jerome Collins's 1295747368 issued?
The Mark Jerome Collins's 1295747368 was issued on 2006-08-13.
When was the information related to Mark Jerome Collins most recently updated or refreshed?
The details pertaining to the Mark Jerome Collins, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-05-25.