1225531221 NPI number — CARE INTEGRATED BEHAVIORAL HEALTH

Table of content: DR. ELIZABETH GINSBERG KAMENS PSYD (NPI 1942611868)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225531221 NPI number — CARE INTEGRATED BEHAVIORAL HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARE INTEGRATED BEHAVIORAL HEALTH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225531221
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/15/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3039
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CORPUS CHRISTI
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78463-3039
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
361-235-4662
Provider Business Mailing Address Fax Number:
361-245-5040

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2606 HOSPITAL BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORPUS CHRISTI
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78405-1833
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-235-4662
Provider Business Practice Location Address Fax Number:
361-245-5040
Provider Enumeration Date:
03/15/2018

Additional Information

Authorized Official

Authorized Official Last Name:
REDDY
Authorized Official First Name:
SUNIL
Authorized Official Middle Name:
P
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
361-235-4662

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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