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WATERBURY PSYCHIATRIC ASSOCIATES P.C. NPI 1316161193


NPI Information

NPI: 1316161193
Provider Name: WATERBURY PSYCHIATRIC ASSOCIATES, P.C.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 07D1010395

Address:
133 SCOVILL ST
SUITE # 201
WATERBURY, CT
ZIP 06706
Phone: (203) 597-0575
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WATERBURY PSYCHIATRIC ASSOCIATES, P.C. is an adult mental health clinic center in Waterbury, 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. WATERBURY PSYCHIATRIC ASSOCIATES, P.C. NPI is 1316161193. The provider is registered as an organization entity type.

The provider's business location address is:

133 SCOVILL ST
SUITE # 201
WATERBURY, CT
ZIP 06706-127
Phone: (203) 597-0575
Fax: (203) 757-4105

The provider's authorized official is Azhar Imam .
The authorized official title is President and has the following contact phone number (203) 597-0575.

The CLIA number assigned to this NPI record is 07D1010395 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/12/2007 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
1261QM0850XClinic/CenterAdult Mental Health042814CONNECTICUTYes

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

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