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PSYCHIATRIC MEDICAL GROUP OF MODESTO INC. NPI 1669551255


NPI Information

NPI: 1669551255
Provider Name: PSYCHIATRIC MEDICAL GROUP OF MODESTO, INC.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
3425 COFFEE RD
SUITE 2A
MODESTO, CA
ZIP 95355
Phone: (209) 524-9401
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PSYCHIATRIC MEDICAL GROUP OF MODESTO, INC. is a neurology psychiatry neurology in Modesto, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. PSYCHIATRIC MEDICAL GROUP OF MODESTO, INC. NPI is 1669551255. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3425 COFFEE RD
SUITE 2A
MODESTO, CA
ZIP 95355-582
Phone: (209) 524-9401
Fax: (209) 524-0907

The provider's authorized official is Helen A. Schorr .
The authorized official title is Business Manager and has the following contact phone number (209) 524-9401.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 1/7/2014.


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
12084N0400XPsychiatry & NeurologyNeurologyYes

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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