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 | 2084P0800X | Psychiatry & Neurology | Psychiatry | 0015578 | 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 |
Other Provider Identifier Issuer |
| 1 | 0015578 | OTHER | | CIGNA BEHAVIORAL HEALTH |
| 2 | 008003745 | OTHER | CONNECTICUT | MEDICAID APT FOUNDATION INC. |
| 3 | 168637 | OTHER | | MANAGED HEALTH NETWORK |
| 4 | 500000315 | OTHER | CONNECTICUT | MEDICAID APT FOUNDATION INC. |
| 5 | 004082286 | OTHER | CONNECTICUT | MEDICAID APT FOUNDATION INC. |
| 6 | 329219 | OTHER | | MAGELLAN BEHAVIORAL HEALT |
| 7 | 008001325 | OTHER | CONNECTICUT | MEDICAID APT FOUNDATION INC. |
| 8 | 010015578CT01 | OTHER | CONNECTICUT | ANTHEM BLUE CROSS BLUE SH |
| 9 | 164472 | OTHER | | VALUE OPTIONS |
| 10 | NHS125 | OTHER | | OXFORD |
| 11 | B83748 | MEDICARE UPIN | | |
| 12 | 001155787 | OTHER | CONNECTICUT | MEDICAID DR. SHIMELMAN'S INDIVIDUAL # |
| 13 | 004041000 | OTHER | CONNECTICUT | MEDICAID APT FOUNDATION INC. |
| 14 | 004217099 | OTHER | CONNECTICUT | MEDICAID APT FOUNDATION INC. |
| 15 | 008023170 | OTHER | CONNECTICUT | MEDICAID APT FOUNDATION INC. |
| 16 | 008024427 | OTHER | CONNECTICUT | MEDICAID APT FOUNDATION INC. |
| 17 | 008042339 | OTHER | CONNECTICUT | MEDICAID APT FOUNDATION INC. |
| 18 | D400132157 | MEDICARE PIN | CONNECTICUT | |
| 19 | 004082260 | OTHER | CONNECTICUT | MEDICAID APT FOUNDATION INC. |
| 20 | 008022622 | OTHER | CONNECTICUT | MEDICAID APT FOUNDATION INC. |
| 21 | C01033 | OTHER | CONNECTICUT | MEDICARE APT FOUNDATION INC. |
| 22 | 008022626 | OTHER | CONNECTICUT | MEDICAID APT FOUNDATION INC. |
| 23 | 1548465321 | OTHER | CONNECTICUT | GROUP NPI |
| 24 | 2238345 | OTHER | | CIGNA BEHAVIORAL HEALTH G |
