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HOBSON PSYCHIATRIC SERVICES PC NPI 1861697989


NPI Information

NPI: 1861697989
Provider Name: HOBSON PSYCHIATRIC SERVICES PC
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
2021 HOBSON RD
FORT WAYNE, IN
ZIP 46805
Phone: (260) 483-3287
Get Directions

HOBSON PSYCHIATRIC SERVICES PC is an addiction medicine psychiatry neurology in Fort Wayne, IN. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine HOBSON PSYCHIATRIC SERVICES PC NPI is 1861697989. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2021 HOBSON RD
FORT WAYNE, IN
ZIP 46805-872
Phone: (260) 483-3287
Fax: (260) 842-3820

The provider's authorized official is Jay D Patel .
The authorized official title is Owner and has the following contact phone number (260) 483-3287.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 2/28/2012.


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
1101YM0800XCounselorMental Health39000054AINDIANANo
21041C0700XSocial WorkerClinical34001106AINDIANANo
32084A0401XPsychiatry & NeurologyAddiction Medicine01029672AINDIANAYes

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
1100079870MEDICAIDINDIANA
2133150MEDICARE PININDIANA

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: 11/14/2023

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