Velma A Bacak in Portsmouth - Child & Adolescent Psychiatry
Velma A Bacak - NPI 1104819234
Velma A Bacak is a Child & Adolescent Psychiatry in Portsmouth, Virginia. Velma A Bacak practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Velma A Bacak is 1104819234. The last update date is 2007-07-08.
Velma A Bacak's current location address is 3300 Academy Ave, Portsmouth, Virginia. You can contact this provider via phone number 7574836404 and fax number 7574830737. The mailing address for Velma A Bacak is 3300 Academy Ave, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Velma A Bacak |
|---|---|
| Address | 3300 Academy Ave, Portsmouth, Virginia |
| Phone Number | 7574836404 |
| Fax Number | 7574830737 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104819234 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3300 Academy Ave |
|---|---|
| City | Portsmouth |
| State | Virginia (VA) |
| Post Code | 237033205 |
| Phone Number | 7574836404 |
| Fax Number | 7574830737 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
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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 |
|---|---|---|---|
| 80942 | VA | SENTARA | |
| 330771 | VA | ANTHEM |
Post Comment/ Review Below
What is the unique identifier code issued to Velma A Bacak by the Centers for Medicare & Medicaid Services (CMS)?
The Velma A Bacak has been assigned the NPI (National Provider Identifier) 1104819234. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Velma A Bacak?
The Velma A Bacak is physically situated at 3300 Academy Ave, in the city of Portsmouth, state of VA, with the postal code 237033205.
What is the Velma A Bacak's area of specialization and corresponding taxonomy classification?
The Velma A Bacak's specialty field is Child & Adolescent Psychiatry, and it falls under the taxonomy code 2084P0804X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104819234 to Velma A Bacak?
The Centers for Medicare & Medicaid Services originally issued the 1104819234 to Velma A Bacak on 2005-08-24.
When was the information regarding Velma A Bacak most recently updated?
The details pertaining to the Velma A Bacak, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.