Theethaye L. Ittiara, M.D., P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

TI031889 Issued in MI

Legal business name

THEETHAYE L. ITTIARA, M.D., P.C.

Practice address

142 E Maumee St
Adrian, MI 49221-2735

Phone

(517) 263-5810

Fax

(517) 263-5810

NPI assigned

Jun 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Theethaye L Ittiara, M.D.NPI 1174585475

Title

Owner

Phone

(517) 263-5810

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theethaye Lonappan Ittiara, M.D

  • Psychiatry Physician
  • Adrian, MI
  • NPI 1174585475
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1124289806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E MAUMEE ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212735",
            "telephone_number": "517-263-5810",
            "fax_number": "517-263-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E MAUMEE ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212735",
            "telephone_number": "517-263-5810",
            "fax_number": "517-263-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEETHAYE L. ITTIARA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "ITTIARA",
        "authorized_official_first_name": "THEETHAYE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-263-5810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "TI031889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Mindful Matriarch L.L.C
• The Pharm of Michigan
• The Potent Planner LLC
• The Young Men'S Christian Association of Lenawee County
• Theethaye Ittiara MD PC
• Therasys, Inc.
• Thomas W. Muldary, PH.D. and Patricia M. Muldary, PH.D. PC
• Annah Thomas-Dull
• Patrick Thomas
• Sarah Thomas

• Community/Behavioral Health Agency in Adrian, MI
• Providers in Adrian, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.