Nicholas Herkimer Putnam in Encinitas - Child & Adolescent Psychiatry

Nicholas Herkimer Putnam - NPI 1124178900

Nicholas Herkimer Putnam is a Child & Adolescent Psychiatry in Encinitas, California. Nicholas Herkimer Putnam practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Nicholas Herkimer Putnam is 1124178900. The last update date is 2007-07-09.

Nicholas Herkimer Putnam's current location address is 4401 Manchester Ave, Encinitas, California. You can contact this provider via phone number 7607534564 and fax number 7607531541. The mailing address for Nicholas Herkimer Putnam is 4401 Manchester Ave, Encinitas, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicholas Herkimer Putnam
Address 4401 Manchester Ave, Encinitas, California
Phone Number 7607534564
Fax Number 7607531541
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1124178900
Provider Enumeration Date 2007-01-12
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 4401 Manchester Ave
City Encinitas
State California (CA)
Post Code 920244938
Phone Number 7607534564
Fax Number 7607531541

Provider's Primary Taxonomy Detail

Speciality Child & Adolescent Psychiatry
Taxonomy 2084P0804X
Licence No G27562
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G0027562 CA --

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FAQs about Nicholas Herkimer Putnam

What is the unique identifier code issued to Nicholas Herkimer Putnam by the Centers for Medicare & Medicaid Services (CMS)?

The Nicholas Herkimer Putnam has been assigned the NPI (National Provider Identifier) 1124178900. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Nicholas Herkimer Putnam?

The Nicholas Herkimer Putnam is situated at 4401 Manchester Ave, in the city of Encinitas, state of CA, with the zip code 920244938.

What is the Nicholas Herkimer Putnam's specialty and taxonomy code?

The Nicholas Herkimer Putnam's specialty is Child & Adolescent Psychiatry, and the corresponding taxonomy code is 2084P0804X.

On what date did Nicholas Herkimer Putnam receive its 1124178900 assignment from the Centers for Medicare & Medicaid Services?

The Nicholas Herkimer Putnam was assigned its 1124178900 on 2007-01-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Nicholas Herkimer Putnam most recently updated or revised?

The information pertaining to Nicholas Herkimer Putnam, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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