Jack Potts is a Forensic Psychiatry in Phoenix, Arizona. Jack Potts practices all healthcare services and medical treatments related to Forensic Psychiatry. The NPI Number for Jack Potts is 1245348812. The last update date is 2007-07-08.
Jack Potts's current location address is 221 E Indianola Ave, Phoenix, Arizona. You can contact this provider via phone number 6022745494 and fax number 6022645566. The mailing address for Jack Potts is 221 E Indianola Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Potts |
|---|---|
| Address | 221 E Indianola Ave, Phoenix, Arizona |
| Phone Number | 6022745494 |
| Fax Number | 6022645566 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1245348812 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 221 E Indianola Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850122002 |
| Phone Number | 6022745494 |
| Fax Number | 6022645566 |
Provider's Primary Taxonomy Detail
| Speciality | Forensic Psychiatry |
|---|---|
| Taxonomy | 2084F0202X |
| Licence No | AZ12185 |
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Definition: Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and fo |
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Post Comment/ Review Below
What is the unique identification code assigned to Jack Potts by the Centers for Medicare & Medicaid Services?
The Jack Potts has been issued the NPI (National Provider Identifier) 1245348812. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jack Potts's facilities are situated?
The facilities of Jack Potts are physically located at the following address: 221 E Indianola Ave, Phoenix, AZ, 850122002.
What is Jack Potts's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack Potts is Forensic Psychiatry, and the taxonomy code that classifies this field of practice is 2084F0202X.
On what date did the Jack Potts receive its 1245348812 assignment from the Centers for Medicare & Medicaid Services?
The Jack Potts was assigned its 1245348812 by the Centers for Medicare & Medicaid Services on 2006-08-25.
As of what date was the information regarding Jack Potts, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jack Potts, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.