Guam Psychiatric Services, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

195912 Issued in NY

Legal business name

GUAM PSYCHIATRIC SERVICES, LLC

Practice address

241 Farenholt Ave
Suite 105 Oka BLDG
Tamuning, GU 96913-0000

Phone

(671) 649-7792

NPI assigned

Nov 12, 2010

Last updated

Nov 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ione De Jesus, M.D.

Title

Psychiatrist

Phone

(671) 649-7792

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1275834863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10421",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969310421",
            "telephone_number": "671-649-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 FARENHOLT AVE",
            "address_2": "SUITE 105 OKA BLDG",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969130000",
            "telephone_number": "671-649-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAM PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "IONE",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "671-649-7792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "195912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Specialist in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.