DR. BENJAMIN LOUIS TROY


Address: 230 East Day Road, Suite 160, Mishawaka, IN 46545-3463
Phone: 5742718222

DR. BENJAMIN LOUIS TROY (NPI# 1144337791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144337791
Entity Type Individual
Full Name DR. BENJAMIN LOUIS TROY
Credential M.D.
Practice Address 230 East Day Road
Suite 160
Mishawaka
IN 46545-3463
Practice Telephone 5742718222
Practice Fax Number 5742718896
Mailing Telephone 5742718222
Mailing Fax Number 5742718896
Enumeration Date 2006-08-23
Last Update Date 2010-04-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
01065732A IN Allopathic & Osteopathic Physicians
N 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
47532-020 WI Allopathic & Osteopathic Physicians
N 208D00000X General Practice 47532-020 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200912290 05

Office Location

Street Address 230 EAST DAY ROAD
SUITE 160
City MISHAWAKA
State IN
Zip Code 46545-3463

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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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City MISHAWAKA
Zip Code 46545

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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