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CHILD ADULT AND ADDICTION PSYCHIATRIC SERVICES LLC NPI 1972724888


NPI Information

NPI: 1972724888
Provider Name: CHILD ADULT AND ADDICTION PSYCHIATRIC SERVICES LLC
Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Organization

Specialization: Addiction Psychiatry

Address:
123 YORK ST
SUITE 1-D
NEW HAVEN, CT
ZIP 06511
Phone: (203) 785-8655
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CHILD ADULT AND ADDICTION PSYCHIATRIC SERVICES LLC is an addiction psychiatry psychiatry neurology in New Haven, CT. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. CHILD ADULT AND ADDICTION PSYCHIATRIC SERVICES LLC NPI is 1972724888. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

123 YORK ST
SUITE 1-D
NEW HAVEN, CT
ZIP 06511-614
Phone: (203) 785-8655
Fax: (203) 785-8422

The provider's authorized official is Vivek Agnihotri .
The authorized official title is M.d. and has the following contact phone number (203) 785-8655.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/22/2020.


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
12084P0802XPsychiatry & NeurologyAddiction Psychiatry041142CONNECTICUTYes

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

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