DR. BENJAMIN JAMES ANDERSON (NPI# 1497098404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497098404 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN JAMES ANDERSON |
| Credential | MD |
| Practice Address |
200 Retreat Ave Hartford Hospital Psychiatry Dept Hartford CT 06106-3309 |
| Practice Telephone | 8605457493 |
| Mailing Telephone | (860) 545-7493 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2017-07-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
055670 | CT | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD043098 | DC | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
055670 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
| 1720282775 | Benjamin Freeman Anderson Jr. | Optometrist | 5062 W Atlantic Ave, Delray Beach, FL 33484-8129 | 2007-06-13 |
| 1730306754 | Benjamin Michael Anderson | Psychologist | 1400 Grand Avenue, Newport, KY 41071 | 2007-04-19 |
| 1861981300 | Benjamin Anderson | Behavior Technician | 1910 Olympic Blvd Ste 220, Walnut Creek, CA 94596-5071 | 2018-05-09 |
| 1710384060 | Benjamin Anderson | Chiropractor | 2255 S 108th St, West Allis, WI 53227-1107 | 2014-12-02 |
| 1184056624 | Benjamin H. Anderson | Physician Assistant | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 | 2013-08-07 |
| 1508203712 | Benjamin Anderson | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2013-05-29 |
| 1851690275 | Benjamin Thomas Anderson | Internal Medicine | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2011-03-24 |
| 1073775839 | Benjamin James Anderson | Dentist | 14625 California St, Omaha, NE 68154-1950 | 2008-07-01 |
| 1417143272 | Benjamin Charles Anderson | Occupational Therapy Assistant | 1010 W Main St, Henderson, TX 75652-2923 | 2007-09-14 |
| Street Address |
200 RETREAT AVE HARTFORD HOSPITAL PSYCHIATRY DEPT |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205833936 | Charles F Caley | Pharmacist | 200 Retreat Ave, Hartford, CT 06106-3309 | 2005-07-07 |
| 1831797174 | Derek Alan Fenwick | Student in an Organized Health Care Education/Training Program | 200 Retreat Ave, Hartford, CT 06106-3310 | 2020-10-09 |
| 1215542436 | Diana Kolcz | Clinical Neuropsychologist | 200 Retreat Ave, Hartford, CT 06102-3101 | 2020-09-14 |
| 1588278550 | Moselle Campbell | Psychologist | 200 Retreat Ave, Hartford, CT 06106-3309 | 2020-09-07 |
| 1346860665 | Emily Rosen-wachs | Student in an Organized Health Care Education/Training Program | 200 Retreat Ave, Hartford, CT 06106-3309 | 2020-04-17 |
| 1578183893 | Andrew Ding | Student in an Organized Health Care Education/Training Program | 200 Retreat Ave, Hartford, CT 06106-3309 | 2020-04-17 |
| 1346860590 | Lilly Rizzo | Student in an Organized Health Care Education/Training Program | 200 Retreat Ave, Hartford, CT 06106-3309 | 2020-04-17 |
| 1225657521 | Ronald E Weir Jr. | Student in an Organized Health Care Education/Training Program | 200 Retreat Ave, Hartford, CT 06106-3309 | 2020-04-16 |
| 1669091088 | Carolina Michelle Vicens Cardona | Student in an Organized Health Care Education/Training Program | 200 Retreat Ave, Hartford, CT 06106-3310 | 2020-04-15 |
| 1508497033 | Kristina Ann-marie Flemming | Registered Nurse | 200 Retreat Ave, Hartford, CT 06106-3310 | 2020-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750795217 | Lovejit Kaur | Psychiatry & Neurology | 282 Washington St, Hartford, CT 06106-3322 | 2014-06-12 |
| 1972769776 | Ernest Jermin II | Psychiatry & Neurology | 500 Blue Hills Ave, Hartford, CT 06112-1500 | 2008-07-31 |
| 1841483138 | Francisco A Ripepi | Psychiatry & Neurology | 200 Retreat Ave, Hartford Hospital Child Psychiatry, Hartford, CT 06106 | 2007-08-21 |
| 1861683039 | Sudeshna Basu | Psychiatry & Neurology | 200 Retreat Avenue, Hartford Hospital Child Psychiatry, Hartford, CT 06106-3310 | 2007-08-05 |
| 1992903330 | Salma Malik | Psychiatry & Neurology | 200 Retreat Avenue, Hartford Hospital Child Psychiatry, Hartford, CT 06106-3309 | 2007-07-06 |
| 1821292392 | Ramesh K Hemnani | Psychiatry & Neurology | 80 Jefferson St, Hartford, CT 06106-5035 | 2007-06-11 |
| 1336351048 | Samya Hashem Hawley | Psychiatry & Neurology | 1680 Albany Ave, Hartford, CT 06105-1001 | 2007-05-04 |
| 1972721405 | Jeffrey Seth Landau | Psychiatry & Neurology | 682 Prospect Ave, Hartford, CT 06105-4238 | 2007-04-22 |
| 1538245766 | Bernard J Langenauer | Psychiatry & Neurology | 675 Tower Ave, Suite 301, Hartford, CT 06112-1260 | 2006-10-31 |
| 1457447187 | Robert A Sahl | Psychiatry & Neurology | 200 Retreat Avenue, Hartford Hospital Child Psychiatry, Hartford, CT 06106 | 2006-10-04 |
| Find all providers in HARTFORD | ||||
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| 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.