A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Addiction Medicine | 2084A0401X |
| Psychiatry | 2084P0800X | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
* Indicates primary specialty
| NPI Number | 1083272645 |
| Credentials | MD |
| Entity | Individual |
| Enumeration date | 05/30/2019 |
| Last updated | 04/24/2025 - More than a year ago |
| Sole proprietor1 | Yes |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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