MS. PATRICIA LEON GUERRERO TAIMANGLO PHD NPI 1003000761
Psychologist (Clinical) in Tamuning, GU
About PATRICIA TAIMANGLO
Patricia Taimanglo is a provider established in Tamuning, Guam and her medical specialization is psychologist. The NPI number of Patricia Taimanglo is 1003000761 and was assigned on September 2007. The practitioner's primary taxonomy code is 103TC0700X with license number CP000022 (GU). The provider is registered as an individual and her NPI record was last updated 12 years ago.
| NPI | 1003000761 |
| Provider Name | MS. PATRICIA LEON GUERRERO TAIMANGLO PHD |
| Provider Location Address | 590 S MARINE CORPS DRIVE SUITE 219 GITC BLDG TAMUNING, GU 96913 |
| Provider Mailing Address | 590 S MARINE CORPS DRIVE SUITE 219 GITC BLDG TAMUNING, GU 96914 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | Yes |
| Is Organization Subpart? | N/A |
| Enumeration Date | 09-05-2007 |
| Last Update Date | 09-05-2007 |
Primary Taxonomy
| Taxonomy Code | 103TC0700X |
| Classification | Psychologist |
| Type | Behavioral Health & Social Service Providers |
| Specialization | Clinical |
| License No. | CP000022 |
| License State | GU |
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
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
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 |
|---|---|---|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | PSY705 | HI | No |
Other Providers at the same location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497815211 | DR. LUIS GOLEZ ARGUELLES M.D. Individual | General Practice | 590 S MARINE CORPS DRIVE SUITE 126 GITC BUILDING TAMUNING, GU 96913 (617) 646-6354 |
| 1639289499 | JOEL MARC C RUBIO MD Individual | Internal Medicine | 590 S MARINE CORPS DRIVE ITC BUILDING SUITE 226 TAMUNING, GU 96913 (671) 646-5228 |
| 1780804146 | HEALTH PARTNERS, L.L.C. Organization | 590 S MARINE CORPS DRIVE ITC BLDG., SUITE 226 TAMUNING, GU 96913 (671) 646-5228 | |
| 1801080569 | MRS. ROSEMARIE BELL CAMACHO MA Individual | Marriage & Family Therapist | 590 S MARINE CORPS DRIVE SUITE 219 GITC BLDG TAMUNING, GU 96913 (671) 649-2081 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary 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.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.