DR OVANESSIAN TREATMENT CENTER LLC (NPI# 1164749057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164749057 |
| Entity Type | Organization |
| Organization Name | DR OVANESSIAN TREATMENT CENTER LLC |
| Practice Address |
20 Church Hill Rd Newtown CT 06470-1657 |
| Practice Telephone | 2033049599 |
| Mailing Telephone | 2033049559 |
| Enumeration Date | 2010-05-01 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | DR. SIMON OVANESSAIN (PHYSICIAN/SURGEON) |
| Authorized Official Telephone | 8455486073 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 305R00000X | Preferred Provider Organization | 042079 | CT | Managed Care Organizations |
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
042079 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
20 CHURCH HILL RD |
| City | NEWTOWN |
| State | CT |
| Zip Code | 06470-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972875433 | Newtown Pharmacy LLC | Pharmacy | 20 Church Hill Rd, Newtown, CT 06470-1657 | 2012-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242889 | Sharon Margaret Smith | Health Educator | 33 Church Hill Rd., Newtown, CT 06470 | 2019-12-11 |
| 1053825091 | Athena Newtown Ct LLC | Skilled Nursing Facility | 139 Toddy Road, Newtown, CT 06470 | 2017-11-29 |
| 1104379874 | Stephanie Andrews | Physical Therapist | 3 Simm Ln, Newtown, CT 06470 | 2016-07-29 |
| 1215276928 | Family Health Care Physicians, Inc. | Family Medicine | 33 Chuch Hill Rd, Newtown, CT 06470 | 2013-02-01 |
| 1538439690 | Mark Pirner | Internal Medicine | 1 Stony Brook Rd, Newtown, CT 06470 | 2012-01-06 |
| 1750614699 | Kelly Mcglynn Ferjentsik | Optometrist | 14 Church Hill Road, Suite C 10, Newtown, CT 06470 | 2009-09-10 |
| 1902066921 | Kevin F Braun | Dentist | 56 Church Hill Road, Newtown, CT 06470 | 2008-06-12 |
| 1477737484 | John Hendrian Whitbeck | Physician Assistant | 172 Mt Pleasant Road, Newtown Professional Center, Newtwon, CT 06470 | 2007-12-27 |
| 1225248248 | Jessica Kelly | Occupational Therapist | 139 Toddy Hill Road, Newtown, CT 06470 | 2007-05-22 |
| 1760603831 | Andrea Leigh Schear | Social Worker | Sontasha Yoga 27 Hawleyville Rd., Newtown, CT 06470 | 2007-05-02 |
| Find all providers in zip 06470 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1154583748 | Zinaida Boutaeva | Psychiatry & Neurology | 6232 Avalon Dr W, Orange, CT 06477-3679 | 2008-06-25 |
| 1144406802 | Shanthi Mogali | Psychiatry & Neurology | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2008-01-11 |
| 1669402343 | Jean Carl Jarda | Psychiatry & Neurology | 28-2 Shunpike Rd, Cromwell, CT 06416 | 2006-07-05 |
| 1336124676 | Yuencheng Han | Psychiatry & Neurology | 750 Straits Tpke, Middlebury, CT 06762-2833 | 2005-12-09 |
| 1831647957 | Straun Health & Wellness | Psychiatry & Neurology | 1224 Mill St, Bldg B, East Berlin, CT 06023-1159 | 2016-09-18 |
| 1528444346 | Marie-josee A. Lynch | Psychiatry & Neurology | 950 Campbell Ave, West Haven, CT 06516-2770 | 2015-08-04 |
| 1215367081 | Gengyun Wen | Psychiatry & Neurology | 189 Storrs Rd, Natchaug Hospital, Mansfield Center, CT 06250-1683 | 2013-11-15 |
| 1043560287 | Michael Kofi Adusei | Psychiatry & Neurology | 30 Shelburne Rd, Stamford Hospital, Stamford, CT 06902 | 2012-09-14 |
| 1023370186 | Maria Ghanbari Motlagh | Psychiatry & Neurology | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2012-06-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR OVANESSIAN TREATMENT CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.