PSYCHIATRIC CARE CONSULTANTS LLC NPI 1033443882

NPI Information

NPI: 1033443882
Provider Name: PSYCHIATRIC CARE CONSULTANTS LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 07D2084719

Address:
111 PARK ST
SUITE 1G
NEW HAVEN, CT
ZIP 06511
Phone: (203) 562-0223
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PSYCHIATRIC CARE CONSULTANTS LLC is an adult mental health clinic center in New Haven, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PSYCHIATRIC CARE CONSULTANTS LLC NPI is 1033443882. The provider is registered as an organization entity type.

The provider's business location address is:

111 PARK ST
SUITE 1G
NEW HAVEN, CT
ZIP 06511-412
Phone: (203) 562-0223
Fax: (203) 777-4226

The provider's authorized official is Kishorchandra R Gonsai .
The authorized official title is President and has the following contact phone number (203) 562-0223.

The CLIA number assigned to this NPI record is 07D2084719 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2009 and was last updated on 9/28/2009.

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	261QM0850X	Clinic/Center	Adult Mental Health	036772	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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