Theethaye Ittiara MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301031889 Issued in MI

Legal business name

THEETHAYE ITTIARA MD PC

Practice address

142 E Maumee Street Suite 3
Adrian, MI 49221-3619

Phone

(517) 263-5810

NPI assigned

Mar 1, 2012

Organization subpart

No

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

Authorized official

Name

Theethaye L Ittiara

Title

MD

Phone

(517) 263-5810

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marislene Delva

  • Physician Assistant
  • Detroit, MI
  • NPI 1144603721
  NPD

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1881968394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E MAUMEE STREET SUITE 3",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213619",
            "telephone_number": "517-263-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E MAUMEE STREET SUITE 3",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213619",
            "telephone_number": "517-263-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEETHAYE ITTIARA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "ITTIARA",
        "authorized_official_first_name": "THEETHAYE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "517-263-5810"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301031889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Psychiatry Physician in Adrian, MI
• Providers in Adrian, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.