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Contact Information

GERIATRIC PSYCHIATRIC SERVICES PLLC
1715 INDIAN WOOD CIR STE 200
MAUMEE, OH43537-4055
 Phone: 877-906-9699
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GERIATRIC PSYCHIATRIC SERVICES PLLC

NPI Number 1467492173
LBN Legal business name GERIATRIC PSYCHIATRIC SERVICES PLLC
Authorized official ROBERT CLEMENTE - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2006
Last updated 07/01/2025 - About 11 months ago
Identifiers
MI Other 260F340040 BCBS PHYSICIAN GROUP
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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