COLLABORATIVE PSYCH & MED NPI 1972088912

NPI Information

NPI: 1972088912
Provider Name: COLLABORATIVE PSYCH & MED
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

Address:
4406 S FLORIDA AVE STE 31
LAKELAND, FL
ZIP 33813
Phone: (855) 732-5292
Get Directions

COLLABORATIVE PSYCH & MED is a geriatric psychiatry psychiatry neurology in Lakeland, FL. 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. COLLABORATIVE PSYCH & MED NPI is 1972088912. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4406 S FLORIDA AVE STE 31
LAKELAND, FL
ZIP 33813-176
Phone: (855) 732-5292
Fax: (863) 583-9926

The provider's authorized official is Kelly Wood .
The authorized official title is Administrator and has the following contact phone number (855) 732-5292.

The enumeration date for this NPI number is 9/26/2018 and was last updated on 9/26/2018.

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	Primary
1	103TA0700X	Psychologist	Adult Development & Aging	No
2	171M00000X	Case Manager/Care Coordinator		No
3	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	Yes

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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