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

Vericare Of California Medical Group - NPI 1760437271

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 1760437271. 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 1760437271
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

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FAQs about Vericare Of California Medical Group

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) 1760437271. 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 provide the complete street address where Vericare Of California Medical Group is physically located?

The Vericare Of California Medical Group is physically situated 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 code that categorizes this area of expertise?

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

On what date did the Vericare Of California Medical Group receive the assignment of its 1760437271 from the Centers for Medicare & Medicaid Services?

The Vericare Of California Medical Group was issued its 1760437271 by the Centers for Medicare & Medicaid Services on 2006-05-23.

As of what date was the information regarding Vericare Of California Medical Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Vericare Of California Medical Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-07-11.

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