CONNECTICUT PSYCHIATRIC SERVICES LLC NPI 1255572079

NPI Information

NPI: 1255572079
Provider Name: CONNECTICUT PSYCHIATRIC SERVICES LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
24 CHANNING ST
NEW LONDON, CT
ZIP 06320
Phone: (860) 442-3380
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CONNECTICUT PSYCHIATRIC SERVICES LLC is a psychiatric/mental health nurse practitioner in New London, CT. CONNECTICUT PSYCHIATRIC SERVICES LLC NPI is 1255572079. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24 CHANNING ST
NEW LONDON, CT
ZIP 06320-735
Phone: (860) 442-3380

The provider's authorized official is Jay Seigel .
The authorized official title is Ceo and has the following contact phone number (860) 405-8330.

The enumeration date for this NPI number is 3/9/2009 and was last updated on 10/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	003815	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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