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PROFESSIONAL DEVELOPMENT ASSOCIATES LLC NPI 1336440122


NPI Information

NPI: 1336440122
Provider Name: PROFESSIONAL DEVELOPMENT ASSOCIATES, LLC
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

Address:
1776 SUMMERLAKES CT
CARMEL, IN
ZIP 46032
Phone: (888) 822-9732
Get Directions

PROFESSIONAL DEVELOPMENT ASSOCIATES, LLC is a geriatric psychiatry psychiatry neurology in Carmel, IN. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. PROFESSIONAL DEVELOPMENT ASSOCIATES, LLC NPI is 1336440122. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1776 SUMMERLAKES CT
CARMEL, IN
ZIP 46032-679
Phone: (888) 822-9732
Fax: (888) 822-9732

The provider's authorized official is John J. Wernert .
The authorized official title is President and has the following contact phone number 13174455016.

The enumeration date for this NPI number is 11/9/2010 and was last updated on 11/9/2010.


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
12084P0805XPsychiatry & NeurologyGeriatric Psychiatry01035237AINDIANAYes

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
11851364780OTHERPERSONAL NPI - DR. WERNERT
2D46997MEDICARE UPININDIANA
3149980BMEDICARE PIN
4100134210AMEDICAIDINDIANA

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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