Vericare Of California Medical Group in Old Lyme - Psychiatric/mental Health

Vericare Of California Medical Group - NPI 1194779439

Vericare Of California Medical Group is a Psychiatric/mental Health in Old Lyme, Connecticut. Vericare Of California Medical Group practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Vericare Of California Medical Group is 1194779439. The last update date is 2017-07-11.

Vericare Of California Medical Group's current location address is 55 Hatchetts Hill Rd, Old Lyme, Connecticut. You can contact this provider via phone number 8003703651 and fax number 8775157147. The mailing address for Vericare Of California Medical Group is 55 Hatchetts Hill Rd, Old Lyme, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Organization Vericare Of California Medical Group
Address 55 Hatchetts Hill Rd, Old Lyme, Connecticut
Phone Number 8003703651
Fax Number 8775157147
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR,
Authorized Official Name King Melissa
Telephone Number 8003703651

NPI Number Detail

NPI Number 1194779439
Provider Enumeration Date 2006-05-20
Last Updated Date 2017-07-11

Provider Mailing Address Detail

Address 55 Hatchetts Hill Rd
City Old Lyme
State Connecticut (CT)
Post Code 63711534
Phone Number 8003703651
Fax Number 8775157147

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 364Sp0808X
Definition:
An advanced practice registered nurse expert in psychiatric and mental health nursing care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CC7816 CA RAILROAD MEDICARE
GPS000150 CA --

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FAQs about Vericare Of California Medical Group

What is the unique 10-digit identification code issued to Vericare Of California Medical Group by the Centers for Medicare & Medicaid Services?

The Vericare Of California Medical Group has been assigned the NPI (National Provider Identifier) 1194779439 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Vericare Of California Medical Group?

The Vericare Of California Medical Group is physically situated at 55 Hatchetts Hill Rd, in the city of Old Lyme, state of CT, with the postal code 63711534.

What is the area of specialization for Vericare Of California Medical Group, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Vericare Of California Medical Group is Psychiatric/mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 364Sp0808X.

When did the Vericare Of California Medical Group receive its 1194779439?

The Vericare Of California Medical Group was issued its 1194779439 on 2006-05-20, which is the date when the organization was assigned this unique identifier.

When was the Vericare Of California Medical Group's information last updated?

The Vericare Of California Medical Group's information was last updated on 2017-07-11.

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