MS. PATRICIA LEON GUERRERO TAIMANGLO PHD NPI 1003000761

Psychologist (Clinical) in Tamuning, GU

About PATRICIA TAIMANGLO

Patricia Taimanglo is a provider in Tamuning, GU. The NPI number assigned to this provider is 1003000761. The practitioner's primary taxonomy code is Psychologist (103TC0700X). The provider is registered as an individual and their NPI record was last updated 11 years ago.

NPI

1003000761

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMS. PATRICIA LEON GUERRERO TAIMANGLO PHD
Provider Location Address590 S MARINE CORPS DRIVE SUITE 219 GITC BLDG TAMUNING, GU 96913 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address590 S MARINE CORPS DRIVE SUITE 219 GITC BLDG TAMUNING, GU 96914 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-05-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MS. PATRICIA LEON GUERRERO TAIMANGLO PHD
590 S MARINE CORPS DRIVE
SUITE 219 GITC BLDG
TAMUNING, GU
ZIP 96913
Phone: (671) 649-2080
Fax: (671) 649-2083

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Mailing Address

MS. PATRICIA LEON GUERRERO TAIMANGLO PHD
590 S MARINE CORPS DRIVE
SUITE 219 GITC BLDG
TAMUNING, GU
ZIP 96914
Phone: (671) 649-2080
Fax: (671) 649-2082

Primary Taxonomy

Taxonomy Code103TC0700X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.CP000022
License StateGU

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalPSY705HINo

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497815211DR. LUIS GOLEZ ARGUELLES M.D.
Individual
General Practice590 S MARINE CORPS DRIVE SUITE 126 GITC BUILDING
TAMUNING, GU 96913
(617) 646-6354
1639289499 JOEL MARC C RUBIO MD
Individual
Internal Medicine590 S MARINE CORPS DRIVE ITC BUILDING SUITE 226
TAMUNING, GU 96913
(671) 646-5228
1780804146HEALTH PARTNERS, L.L.C.
Organization
590 S MARINE CORPS DRIVE ITC BLDG., SUITE 226
TAMUNING, GU 96913
(671) 646-5228
1801080569MRS. ROSEMARIE BELL CAMACHO MA
Individual
Marriage & Family Therapist590 S MARINE CORPS DRIVE SUITE 219 GITC BLDG
TAMUNING, GU 96913
(671) 649-2081
Previous NPI
1003000753
Next NPI
1003000779