Amanda Shackell in New Haven - Psychiatric/mental Health
Amanda Shackell - NPI 1295982429
Amanda Shackell is a Psychiatric/mental Health in New Haven, Connecticut. Amanda Shackell practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Amanda Shackell is 1295982429. The last update date is 2022-01-24.
Amanda Shackell's current location address is 1 Long Wharf Dr, New Haven, Connecticut. You can contact this provider via phone number 2037814600 and fax number 2037814624. The mailing address for Amanda Shackell is 1 Long Wharf Dr, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Shackell |
|---|---|
| Address | 1 Long Wharf Dr, New Haven, Connecticut |
| Phone Number | 2037814600 |
| Fax Number | 2037814624 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1295982429 |
|---|---|
| Provider Enumeration Date | 2008-08-19 |
| Last Updated Date | 2022-01-24 |
Provider Mailing Address Detail
| Address | 1 Long Wharf Dr |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65115991 |
| Phone Number | 2037814600 |
| Fax Number | 2037814624 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | 2620 |
|
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 |
|---|---|---|---|
| 4217099 | CT | -- | |
| 8023170 | CT | -- | |
| 4082286 | CT | -- | |
| 8024427 | CT | -- | |
| 8003745 | CT | -- | |
| 8022622 | CT | -- | |
| 8037391 | CT | -- | |
| 8039745 | CT | -- | |
| 500000315 | CT | -- | |
| C01033 | CT | MEDICARE IDENTIFICATION NUMBE |
Post Comment/ Review Below
What is the Amanda Shackell's 1295982429?
The Amanda Shackell's NPI (National Provider Identifier) Number is 1295982429. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Amanda Shackell?
The Amanda Shackell is situated at 1 Long Wharf Dr, in the city of New Haven, state of CT, with the zip code 65115991.
What is Amanda Shackell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Amanda Shackell's specialized field of practice is Psychiatric/mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0808X.
When did Amanda Shackell receive its 1295982429 assignment?
The Amanda Shackell was assigned its 1295982429 on 2008-08-19, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Amanda Shackell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Amanda Shackell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-01-24.