Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIMOTHY J. CAMASTA, PAC
ActiveChild & Adolescent Psychiatry · FORT CARSON, CO
Registration Details
- NPI Number
- 1104885615
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2006 (20.083796514355 yrs)
- Last Updated
- Nov 13, 2023
- Licenses
-
PA12294 (CA)2353 (CO)PA2353 (CO)
Practice Information
- Address
-
7092 HARR AVE BLDG 6492FORT CARSON, CO, 809022190Browse CO providers · Browse ZIP 80902
- Phone
- 7195245217
- Fax
- 7195263088
- Primary Specialty
-
Child & Adolescent Psychiatry
2084P0301X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Child & Adolescent Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.