James Joseph Staudenmeier in Clarksville - Addiction Psychiatry
James Joseph Staudenmeier - NPI 1174514657
James Joseph Staudenmeier is a Addiction Psychiatry in Clarksville, Tennessee. James Joseph Staudenmeier practices all healthcare services and medical treatments related to Addiction Psychiatry. The NPI Number for James Joseph Staudenmeier is 1174514657. The last update date is 2018-12-25.
James Joseph Staudenmeier's current location address is 243 Dover Rd, Clarksville, Tennessee. You can contact this provider via phone number 9319054646 and fax number 8332781934. The mailing address for James Joseph Staudenmeier is 243 Dover Rd, Clarksville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Joseph Staudenmeier |
|---|---|
| Address | 243 Dover Rd, Clarksville, Tennessee |
| Phone Number | 9319054646 |
| Fax Number | 8332781934 |
| Sole Proprietor | Y |
| Credentials | M.D., MPH |
NPI Number Detail
| NPI Number | 1174514657 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2018-12-25 |
Provider Mailing Address Detail
| Address | 243 Dover Rd |
|---|---|
| City | Clarksville |
| State | Tennessee (TN) |
| Post Code | 370424155 |
| Phone Number | 9319054646 |
| Fax Number | 8332781934 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Psychiatry |
|---|---|
| Taxonomy | 2084P0802X |
| Licence No | 2013022890 |
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Definition: Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric d |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q037630 | TN | -- | |
| 210425001 | AR | -- | |
| 1174514657 | MO | -- | |
| 7100344430 | KY | -- |
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What is the unique provider identifier assigned to James Joseph Staudenmeier?
The James Joseph Staudenmeier has been issued the NPI (National Provider Identifier) 1174514657 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the James Joseph Staudenmeier located?
The James Joseph Staudenmeier is located at 243 Dover Rd, Clarksville, TN 370424155.
What is the James Joseph Staudenmeier's area of specialization and corresponding taxonomy classification?
The James Joseph Staudenmeier's specialty field is Addiction Psychiatry, and it falls under the taxonomy code 2084P0802X, which categorizes healthcare providers based on their specialties.
On what date was the 1174514657 assigned to James Joseph Staudenmeier?
The James Joseph Staudenmeier was issued its 1174514657 on 2005-11-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the James Joseph Staudenmeier's details last updated?
The information pertaining to the James Joseph Staudenmeier, including its address, specialty, and other details, was most recently updated on 2018-12-25.