James G Marencik in Bloomington - Child & Adolescent Psychiatry
James G Marencik - NPI 1043295694
James G Marencik is a Child & Adolescent Psychiatry in Bloomington, Indiana. James G Marencik practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for James G Marencik is 1043295694. The last update date is 2019-06-17.
James G Marencik's current location address is 645 S Rogers St, Bloomington, Indiana. You can contact this provider via phone number 8123391691 and fax number 8123372438. The mailing address for James G Marencik is 645 S Rogers St, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James G Marencik |
|---|---|
| Address | 645 S Rogers St, Bloomington, Indiana |
| Phone Number | 8123391691 |
| Fax Number | 8123372438 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1043295694 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2019-06-17 |
Provider Mailing Address Detail
| Address | 645 S Rogers St |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474032353 |
| Phone Number | 8123391691 |
| Fax Number | 8123372438 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 1051630 |
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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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200261970A | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to James G Marencik by the Centers for Medicare & Medicaid Services (CMS)?
The James G Marencik has been assigned the NPI (National Provider Identifier) 1043295694. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the James G Marencik's physical address?
The James G Marencik is physically located at 645 S Rogers St, in the city of Bloomington, IN, with the postal code 474032353.
What is James G Marencik's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for James G Marencik is Child & Adolescent Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0804X.
On what date did the James G Marencik receive its 1043295694 assignment from the Centers for Medicare & Medicaid Services?
The James G Marencik was assigned its 1043295694 by the Centers for Medicare & Medicaid Services on 2005-12-07.
When was the James G Marencik's information last updated?
The James G Marencik's information was last updated on 2019-06-17.
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