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Contact Information

PSYCHIATRIC MEDICINE CENTER PC
501 OCEAN AVE
PSYCHIATRIC MEDICINE CENTER PC
NEW LONDON, CT06320
 Phone: 860-442-6364
 Fax: 860-447-9977
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for PSYCHIATRIC MEDICINE CENTER PC

NPI Number 1477602217
LBN Legal business name PSYCHIATRIC MEDICINE CENTER PC
Authorized official PAMELA GRAVES - (CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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