Provider Type Icon

CONNECTICUT NEURODEVELOPMENTAL SERVICES NPI 1467527580


NPI Information

NPI: 1467527580
Provider Name: CONNECTICUT NEURODEVELOPMENTAL SERVICES
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
134 GRANDVIEW AVE
WATERBURY, CT
ZIP 06708
Phone: (203) 755-3279
Get Directions

CONNECTICUT NEURODEVELOPMENTAL SERVICES is a neurology with special qualifications in child neurology psychiatry neurology in Waterbury, CT. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. CONNECTICUT NEURODEVELOPMENTAL SERVICES NPI is 1467527580. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

134 GRANDVIEW AVE
WATERBURY, CT
ZIP 06708-507
Phone: (203) 755-3279
Fax: (203) 755-3057

The provider's authorized official is Alok Bhargava .
The authorized official title is Owner and has the following contact phone number (203) 755-3279.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 9/30/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0008XPediatricsNeurodevelopmental Disabilities030847CONNECTICUTNo
2208000000XPediatrics030847CONNECTICUTNo
3363LP0200XNurse PractitionerPediatrics003467CONNECTICUTNo
4363LF0000XNurse PractitionerFamily003467CONNECTICUTNo
5363LP0200XNurse PractitionerPediatrics004478CONNECTICUTNo
6363LF0000XNurse PractitionerFamily004478CONNECTICUTNo
72084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology030847CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E57916MEDICARE UPINCONNECTICUT

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.