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BRISTOL HOSPITAL MULTI-SPECIALTY GROUP INC. NPI 1396734109


NPI Information

NPI: 1396734109
Provider Name: BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
15 RIVERSIDE AVE
BRISTOL, CT
ZIP 06010
Phone: (860) 585-9473
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BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC. is a psychiatry psychiatry neurology in Bristol, CT. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC. NPI is 1396734109. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15 RIVERSIDE AVE
BRISTOL, CT
ZIP 06010-312
Phone: (860) 585-9473
Fax: (860) 314-2054

The provider's authorized official is Chris Ann Meaney .
The authorized official title is President and has the following contact phone number (860) 585-3041.

The enumeration date for this NPI number is 10/14/2005 and was last updated on 10/10/2023.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
21041C0700XSocial WorkerClinicalNo
3103T00000XPsychologistNo
4106H00000XMarriage & Family TherapistNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
6364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthNo
72084P0800XPsychiatry & NeurologyPsychiatryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004188985MEDICAIDCONNECTICUT
2004194130MEDICAIDCONNECTICUT
3004253291MEDICAIDCONNECTICUT
4004262804MEDICAIDCONNECTICUT
5004255445MEDICAIDCONNECTICUT
6004212982MEDICAIDCONNECTICUT

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.