MIRMIR PSYCHIATRY NPI 1639826498

NPI Information

  • NPI: 1639826498
  • Provider Name: MIRMIR PSYCHIATRY
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 157 CHURCH ST STE 1976
    NEW HAVEN, CT
    ZIP 06510
  • Phone: (202) 734-7926

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NPI Details

MIRMIR PSYCHIATRY is a psychiatric/mental health nurse practitioner in New Haven, CT. MIRMIR PSYCHIATRY NPI is 1639826498. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

157 CHURCH ST STE 1976
NEW HAVEN, CT
ZIP 06510-100
Phone: (202) 734-7926

The provider's authorized official is Ryan Kennan .
The authorized official title is Owner/aprn and has the following contact phone number (202) 734-7926.

The enumeration date for this NPI number is 3/2/2022 and was last updated on 3/2/2022.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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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