Joellen Anderson in Patchogue - Psychiatric/mental Health
Joellen Anderson - NPI 1295869055
Joellen Anderson is a Psychiatric/mental Health in Patchogue, New York. Joellen Anderson practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Joellen Anderson is 1295869055. The last update date is 2007-07-08.
Joellen Anderson's current location address is 4 Phyllis Dr, Patchogue, New York. You can contact this provider via phone number 6314477560 and fax number 6317747561. The mailing address for Joellen Anderson is 4 Phyllis Dr, Patchogue, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Joellen Anderson |
---|---|
Address | 4 Phyllis Dr, Patchogue, New York |
Phone Number | 6314477560 |
Fax Number | 6317747561 |
Sole Proprietor | Y |
Credentials | NP |
NPI Number Detail
NPI Number | 1295869055 |
---|---|
Provider Enumeration Date | 2007-03-15 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4 Phyllis Dr |
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City | Patchogue |
State | New York (NY) |
Post Code | 117722900 |
Phone Number | 6314477560 |
Fax Number | 6317747561 |
Provider's Primary Taxonomy Detail
Speciality | Psychiatric/mental Health |
---|---|
Taxonomy | 363Lp0808X |
Licence No | F400410 |
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
164773 | NY | VALUE OPTIONS GOV'T | |
7482405 | NY | VALUE OPTIONS |
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What is the unique identifier code issued to Joellen Anderson by the Centers for Medicare & Medicaid Services?
The Joellen Anderson has been assigned the NPI (National Provider Identifier) 1295869055. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Joellen Anderson's physical address?
The Joellen Anderson is physically located at 4 Phyllis Dr, in the city of Patchogue, NY, with the postal code 117722900.
What is the Joellen Anderson's specialty and taxonomy code?
The Joellen Anderson's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 363Lp0808X.
On what date did Joellen Anderson receive its 1295869055 assignment from the Centers for Medicare & Medicaid Services?
The Joellen Anderson was assigned its 1295869055 on 2007-03-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Joellen Anderson last refreshed?
The information related to the Joellen Anderson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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