Institutional Psychiatric Consultation Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD050187-L Issued in PA

Legal business name

INSTITUTIONAL PSYCHIATRIC CONSULTATION SERVICES

Practice address

414 Paoli Pike
Malvern, PA 19355

Phone

(610) 651-0657

Fax

(610) 722-0704

NPI assigned

May 30, 2007

Last updated

Jul 31, 2019By 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

Dale Panzer, MDNPI 1114022274

Title

Chairman Owner

Phone

(610) 324-4930

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, and the practitioner matching its NPPES authorized official.

• Dale Eric Panzer, M.D.

  • Psychiatry Physician
  • Gladwyne, PA
  • NPI 1114022274
  Authorized official Same address or phone

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1861693673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PAOLI PINE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553311",
            "telephone_number": "610-324-4930",
            "fax_number": "610-722-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PAOLI PIKE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "19355",
            "telephone_number": "610-651-0657",
            "fax_number": "610-722-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTIONAL PSYCHIATRIC CONSULTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "PANZER",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "CHAIRMAN OWNER",
        "authorized_official_telephone_number": "610-324-4930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD050187-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Malvern, PA
• Providers in Malvern, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.