Organization
VERICARE OF CALIFORNIA MEDICAL GROUP
Active
Other names
Vericare
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KING (DIRECTOR, CREDENTIALING ENROLLMENT)
(800) 370-3652
Entity
Organization
Contact information
Practice address
3293 N DRINKWATER BLVD, SCOTTSDALE, AZ 85251-6405
(480) 947-7443
Mailing address
55 HATCHETTS HILL RD, OLD LTME, CT 06371-1534
(800) 370-3651
(877) 515-7147
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
08/05/2007
Last updated
07/11/2017
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