Thomas C Black in New Haven - Psychiatric/mental Health

Thomas C Black - NPI 1417078122

Thomas C Black is a Psychiatric/mental Health in New Haven, Connecticut. Thomas C Black practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Thomas C Black is 1417078122. The last update date is 2007-07-08.

Thomas C Black's current location address is Po Box 9805, New Haven, Connecticut. You can contact this provider via phone number 2037857998 and fax number 2037856414. The mailing address for Thomas C Black is Po Box 9805, New Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas C Black
Address Po Box 9805, New Haven, Connecticut
Phone Number 2037857998
Fax Number 2037856414
Sole Proprietor N
Credentials APRN, MSN

NPI Number Detail

NPI Number 1417078122
Provider Enumeration Date 2007-04-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 9805
City New Haven
State Connecticut (CT)
Post Code 65360805
Phone Number 2037857998
Fax Number 2037856414

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 363Lp0808X
Licence No 3424
Definition:
An advanced practice registered nurse expert in providing psychiatric and mental healthcare services.

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FAQs about Thomas C Black

What is the Thomas C Black's unique identification number?

The Thomas C Black has been assigned the NPI (National Provider Identifier) Number 1417078122 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Thomas C Black?

The Thomas C Black is situated at Po Box 9805, in the city of New Haven, state of CT, with the zip code 65360805.

What is the Thomas C Black's specialty and taxonomy code?

The Thomas C Black's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 363Lp0808X.

On what date did Thomas C Black receive its 1417078122 assignment from the Centers for Medicare & Medicaid Services?

The Thomas C Black was assigned its 1417078122 on 2007-04-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Thomas C Black, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Thomas C Black, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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