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THEETHAYE L. ITTIARA, M.D., P.C.
NPI 1124289806
Community/Behavioral Health in Adrian, MI

Active since June 24, 2008
142 E MAUMEE ST, ADRIAN, MI 49221(517) 263-5810(517) 263-5810 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theethaye L. Ittiara, M.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEETHAYE L. ITTIARA, M.D., P.C. (NPI 1124289806) is a healthcare organization registered as a community/behavioral health in Adrian, Michigan and active in the NPI registry since June 2008. The organization lists Theethaye L Ittiara, Owner, as its authorized official.

NPPES Registry Identity

NPI1124289806
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameTHEETHAYE L. ITTIARA, M.D., P.C.
Location Address142 E MAUMEE STAdrian, MI 49221-2735
Mailing Address142 E Maumee StAdrian, MI 49221-2735 · (517) 263-5810 · Fax (517) 263-5810
Phone(517) 263-5810
Fax(517) 263-5810
Organization SubpartNo
Authorized OfficialTheethaye L IttiaraOwner · (517) 263-5810
Enumeration DateJune 24, 2008
✔ NPI 1124289806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MI · TI031889
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
142 E MAUMEE ST, Adrian, MI 49221
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Other Identifiers 1

Medicare UPINA77014MI

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREG MICHAEL JOHNSON PHD
Psychologist
142 E MAUMEE ST
ADRIAN, MI 49221
Lenawee County (517) 263-5810
EMILY M POLUS MSN
Nurse Practitioner (Psychiatric/Mental Health)
142 E MAUMEE ST
ADRIAN, MI 49221
Lenawee County (517) 263-5810
CORTEZ AND ASSOCIATES
Social Worker (Clinical)
142 E MAUMEE ST, SUITE 3
ADRIAN, MI 49221
Lenawee County (517) 403-3728
DR. THEETHAYE LONAPPAN ITTIARA M.D
Psychiatry & Neurology (Psychiatry)
142 E MAUMEE ST
ADRIAN, MI 49221
Lenawee County (517) 263-5810
VICKI L HALL MA LPC
Counselor (Professional)
142 E MAUMEE ST, SUITE 2
ADRIAN, MI 49221
Lenawee County (517) 263-2625
CAROL ZAWACKI LMSW, SAP
Counselor (Mental Health)
142 E MAUMEE ST
ADRIAN, MI 49221
Lenawee County (517) 263-2625
RENEE THERESA MINGUS MA LLP
Counselor (Professional)
142 E MAUMEE ST
ADRIAN, MI 49221
Lenawee County (517) 263-2625
MS. MICHELLE RENEE LARKIN FULCHER ACSW, LMSW
Social Worker (Clinical)
142 E MAUMEE ST, STE. 6
ADRIAN, MI 49221
Lenawee County (734) 576-5465

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theethaye L. Ittiara, M.D., P.C.'s NPI number?

The NPI number for Theethaye L. Ittiara, M.D., P.C. is 1124289806. It was assigned to this organization in the NPPES registry on June 24, 2008.

Where is Theethaye L. Ittiara, M.D., P.C. located?

Theethaye L. Ittiara, M.D., P.C. is located at 142 E Maumee St, Adrian, MI 49221. The listed phone number is (517) 263-5810.

What is Theethaye L. Ittiara, M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Theethaye L. Ittiara, M.D., P.C. was last updated on June 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.