Family Psychiatric Center LLC
Psychiatry & Neurology, Psychiatry in Kokomo, IN. Organization (NPI-2).
NPI number1245302934
StatusActive
Last updated in NPPESApr 17, 2013
Details
- NPI
- 1245302934
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Psychiatric Center LLC
- Organization subpart
- No
- Enumeration date
- Nov 15, 2006
- Last updated
- Apr 17, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 01023409 | IN | Yes |
| 101YM0800X | Counselor, Mental Health | – | IN | |
| 103TC0700X | Psychologist, Clinical | 20010245 | IN | |
| 1041C0700X | Social Worker, Clinical | – | IN | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 28095903A | IN |
Other names
- Donald Roegner MD (Doing Business As)
Practice location
702 W Alto RdKokomo, IN 46902-4907
Phone 765-453-7422 · Fax 765-453-3773
Mailing address
Po Box 6459Kokomo, IN 46904-6459
Phone 765-453-7422 · Fax 765-453-3773
Authorized official
Donald L Roegner
M.D. Dba
7654537422
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