Psychiatry Subspecialties Consultants PC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

FC067134 Issued in MI

Legal business name

PSYCHIATRY SUBSPECIALTIES CONSULTANTS PC

Practice address

259 E Chicago St
Coldwater, MI 49036-2046

Phone

(517) 279-0248

NPI assigned

Oct 3, 2006

Last updated

Jun 14, 2013By 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

Fernando Castro-Urrutia, M.D.

Title

Ceo

Phone

(517) 279-0248

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hagop P Ghazarian, DPM

  • Podiatrist
  • Mattawan, MI
  • NPI 1609820331
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1346334240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N OSSEO RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429714",
            "telephone_number": "517-523-3695",
            "fax_number": "517-523-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362046",
            "telephone_number": "517-279-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRY SUBSPECIALTIES CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "CASTRO-URRUTIA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "517-279-0248",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "SL078982",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MI",
            "license": "FC067134",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MI",
            "license": "SL078982",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4653622",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4653631",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "260A210220",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Psychiatry Physician in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Geriatric Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.