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KOHUT PSYCHIATRIC MEDICAL GROUP INC NPI 1245259258


NPI Information

NPI: 1245259258
Provider Name: KOHUT PSYCHIATRIC MEDICAL GROUP INC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1800 MEDICAL CENTER DRIVE
SUITE 300
SAN BERNARDINO, CA
ZIP 92411
Phone: (909) 887-6222
Get Directions

KOHUT PSYCHIATRIC MEDICAL GROUP INC is a psychiatry psychiatry neurology in San Bernardino, CA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. KOHUT PSYCHIATRIC MEDICAL GROUP INC NPI is 1245259258. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1800 MEDICAL CENTER DRIVE
SUITE 300
SAN BERNARDINO, CA
ZIP 92411
Phone: (909) 887-6222
Fax: (909) 887-4565

The provider's authorized official is John Joel Kohut .
The authorized official title is Psychiatry and has the following contact phone number (909) 887-6222.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 6/22/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
42084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ59319ZOTHERBLUE SHIELD
2ZZZ20831ZMEDICARE PINCALIFORNIA
3GR0040560OTHERCALIFORNIAMEDICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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