National Provider Identifier Database

MARK J COLLINS, DO – NPI #1295747368
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

MARK J COLLINS, DO
5940 E COPPER HILL DR
SUITE B
PRESCOTT VALLEY, AZ86314-2860
Phone: 702-379-2227
Fax:
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for MARK J COLLINS

NPI Number 1295747368
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/13/2006
Last updated 05/25/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • AZ License #: 4145
  • CA License #: 20A12037
  • IA License #: 02847
  • NV License #: 766
  • NV Medicaid: 002019797
  • CA Other: W-416 MEDICARE PTAN
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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