TISA A AYUSO D.O. NPI 1851629448

NPI Information

NPI: 1851629448
Provider Name: TISA A AYUSO, D.O.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Organization: GREENWICH HOSPITAL

PECOS Registration: Yes

Address:
5 PERRYRIDGE RD
GREENWICH, CT
ZIP 06830
Phone: (203) 863-3944
Get Directions

Tisa A Ayuso, D.O. is a child and adolescent psychiatry psychiatry neurology in Greenwich, CT with 17 years of experience. The provider is 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. Tisa A Ayuso, D.O. NPI is 1851629448. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5 PERRYRIDGE RD
GREENWICH, CT
ZIP 06830-697
Phone: (203) 863-3944
Fax: (203) 863-4690

The NPI 1851629448 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2009 and was last updated on 7/30/2021.

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	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	048692	CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	004041000	MEDICAID	CONNECTICUT
2	008022622	MEDICAID	CONNECTICUT
3	008039241	MEDICAID	CONNECTICUT
4	008001325	MEDICAID	CONNECTICUT
5	008003745	MEDICAID	CONNECTICUT
6	008039745	MEDICAID	CONNECTICUT
7	004082260	MEDICAID	CONNECTICUT
8	008022626	MEDICAID	CONNECTICUT

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: 11/14/2023

NPI Synchronization or Removal

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