ROBERT JERROLD RACUSIN MD NPI 1750459244

NPI Information

NPI: 1750459244
Provider Name: ROBERT JERROLD RACUSIN, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
1 MEDICAL CENTER DR
DHMC, DEPARTMENT OF PSYCHIATRY
LEBANON, NH
ZIP 03756
Phone: (603) 650-5835
Get Directions

Robert Jerrold Racusin, MD is a child and adolescent psychiatry psychiatry neurology in Lebanon, NH. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Robert Jerrold Racusin, MD NPI is 1750459244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 MEDICAL CENTER DR
DHMC, DEPARTMENT OF PSYCHIATRY
LEBANON, NH
ZIP 03756-000
Phone: (603) 650-5835
Fax: (603) 650-0819

The enumeration date for this NPI number is 12/1/2006 and was last updated on 7/16/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	5465	VERMONT	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	5075	NEW HAMPSHIRE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D96357	MEDICARE UPIN
2	0004602	OTHER	VERMONT	MEDICAID
3	00000792	MEDICAID	NEW HAMPSHIRE
4	RE0333	MEDICARE ID-TYPE UNSPECIFIED	NEW HAMPSHIRE

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

NPI Synchronization or Removal

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