DR. ANA NECTARA TICLEA, MD - NPI NUMBER 1295986164

Summary

Provider Name: DR. ANA NECTARA TICLEA, MD

NPI Number: 1295986164

Clasification: Psychiatry & Neurology (2084P0800X)

Specialization: Psychiatry

Organization: HARVARD MEDICAL FACULTY PHYS @BETH ISRAEL DEACONESS MED CTR INC

Address:
940 BELMONT ST
BROCKTON, MA
ZIP 02301

Phone Number: (774) 826-1785



Detailed Information

DR. Ana Nectara Ticlea, MD is a psychiatrist in Brockton, MA with 12 years of experience. 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. The assigned NPI number for this provider is 1295986164 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

940 BELMONT ST
BROCKTON, MA
ZIP 02301-596
Phone: (774) 826-1785

The enumeration date for this NPI number is 10/8/2008 and was last updated on 4/23/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 2084P0800X Psychiatry & Neurology Psychiatry 246371 MA Yes

NPI Record

No. Field Name Field Value
1 NPI 1295986164
2 Entity Type Code 1
3 Provider Last Name Legal Name TICLEA
4 Provider First Name ANA
5 Provider Middle Name NECTARA
6 Provider Name Prefix Text DR.
7 Provider Credential Text MD
8 Provider Other Last Name RATUSCA
9 Provider Other First Name ANA
10 Provider Other Middle Name N
11 Provider Other Credential Text MD
12 Provider Other Last Name Type Code 1
13 Provider First Line Business Practice Location Address 940 BELMONT ST
14 Provider Business Practice Location Address City Name BROCKTON
15 Provider Business Practice Location Address State Name MA
16 Provider Business Practice Location Address Postal Code 023015596
17 Provider Business Practice Location Address Country Code If outside U S US
18 Provider Business Practice Location Address Telephone Number 7748261785
19 Provider Enumeration Date 10/8/2008
20 Last Update Date 4/23/2013
21 Provider Gender Code F
22 Healthcare Provider Taxonomy Code 1 2084P0800X
23 Provider License Number 1 246371
24 Provider License Number State Code 1 MA
25 Healthcare Provider Primary Taxonomy Switch 1 Y
26 Is Sole Proprietor N

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This page was last updated on: 11/14/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.