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
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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FAQs about Joellen Anderson

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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