Vericare Of California Medical Group in Old Lyme - Psychiatric/mental Health
Vericare Of California Medical Group - NPI 1275588790
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 1275588790. 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 | 1275588790 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| 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 |
|---|---|---|---|
| GPS000150 | CA | -- | |
| CH5753 | CA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier 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) 1275588790. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Vericare Of California Medical Group's facilities are situated?
The facilities of Vericare Of California Medical Group are physically located at the following address: 55 Hatchetts Hill Rd, Old Lyme, CT, 63711534.
What is Vericare Of California Medical Group's specialized field of practice, and what is the corresponding taxonomy classification code?
The Vericare Of California Medical Group's area of specialization is Psychiatric/mental Health, and the corresponding taxonomy code that categorizes this field of practice is 364Sp0808X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275588790 to Vericare Of California Medical Group?
The Centers for Medicare & Medicaid Services assigned the 1275588790 to Vericare Of California Medical Group on 2006-05-23.
As of what date were the details related to Vericare Of California Medical Group most recently updated or revised?
The information pertaining to Vericare Of California Medical Group, including its address, specialty, and other relevant details, was last updated or revised on 2017-07-11.
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