SPECTRUM BEHAVIORAL PC NPI 1457636383

NPI Information

  • NPI: 1457636383
  • Provider Name: SPECTRUM BEHAVIORAL PC
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • Address: 30 BUXTON FARM RD
    SUITE140
    STAMFORD, CT
    ZIP 06905
  • Phone: (203) 612-7512

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NPI Details

SPECTRUM BEHAVIORAL PC is a child and adolescent psychiatry psychiatry neurology in Stamford, CT. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. SPECTRUM BEHAVIORAL PC NPI is 1457636383. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30 BUXTON FARM RD
SUITE140
STAMFORD, CT
ZIP 06905-224
Phone: (203) 612-7512
Fax: (203) 930-3655

The provider's authorized official is Sunil Saxena .
The authorized official title is Medical Director and has the following contact phone number (203) 612-7511.

The enumeration date for this NPI number is 10/11/2011 and was last updated on 1/30/2012.

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
1103TC1900XPsychologistCounseling3117CONNECTICUTNo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry043723CONNECTICUTYes

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
1I52047MEDICARE UPINNEW YORK

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: 11/21/2025

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