Mark T Callesen Md Pc in Mesa - Psychiatric Residential Treatment Facility
Mark T Callesen Md Pc - NPI 1588727259
Mark T Callesen Md Pc is a Psychiatric Residential Treatment Facility in Mesa, Arizona. Mark T Callesen Md Pc practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Mark T Callesen Md Pc is 1588727259. The last update date is 2020-08-22.
Mark T Callesen Md Pc's current location address is 1201 S Alma School Rd, Mesa, Arizona. You can contact this provider via phone number 4804644606 and fax number 4804640613. The mailing address for Mark T Callesen Md Pc is 1201 S Alma School Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark T Callesen Md Pc |
|---|---|
| Address | 1201 S Alma School Rd, Mesa, Arizona |
| Phone Number | 4804644606 |
| Fax Number | 4804640613 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Callesen Travis Mark |
| Credentials | M.D. |
| Telephone Number | 4804644606 |
NPI Number Detail
| NPI Number | 1588727259 |
|---|---|
| Provider Enumeration Date | 2006-12-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1201 S Alma School Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852102008 |
| Phone Number | 4804644606 |
| Fax Number | 4804640613 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | 23058 |
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Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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What is the Mark T Callesen Md Pc's 1588727259?
The Mark T Callesen Md Pc's NPI (National Provider Identifier) Number is 1588727259. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark T Callesen Md Pc located?
The Mark T Callesen Md Pc is located at 1201 S Alma School Rd, Mesa, AZ 852102008.
What is Mark T Callesen Md Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark T Callesen Md Pc's area of specialization is Psychiatric Residential Treatment Facility, and the corresponding taxonomy code that categorizes this field of practice is 323P00000X.
On what date did the Mark T Callesen Md Pc receive its 1588727259 assignment from the Centers for Medicare & Medicaid Services?
The Mark T Callesen Md Pc was assigned its 1588727259 by the Centers for Medicare & Medicaid Services on 2006-12-17.
When was the information related to Mark T Callesen Md Pc most recently updated or refreshed?
The details pertaining to the Mark T Callesen Md Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.