BENNETT A SHAYWITZ (NPI# 1497730345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497730345 |
| Entity Type | Individual |
| Full Name | BENNETT A SHAYWITZ |
| Credential | MD |
| Practice Address |
20 York St Ynhh Children's Hospital, West Pavilion, 2nd Floor New Haven CT 06510-3220 |
| Practice Telephone | 2037854081 |
| Practice Fax Number | 2037855383 |
| Mailing Telephone | 2037854081 |
| Mailing Fax Number | 2037855383 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2011-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
015765 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001157650 | 05 |
| Street Address |
20 YORK ST YNHH CHILDREN'S HOSPITAL, WEST PAVILION, 2ND FLOOR |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547042 | Kimberly C Irwin | Specialist | 20 York St, New Haven, CT 06510-3220 | 2005-06-09 |
| 1225639644 | Lauren Marie Astorino | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-11-03 |
| 1598365215 | Apphia Rose Harris | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-30 |
| 1861091365 | Melissa Todice | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-26 |
| 1528665213 | Rebecca Dorothy Harrison | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-06 |
| 1467068551 | Marissa Meegan Sanca | Registered Nurse | 20 York St, New Haven, CT 06510-3220 | 2020-09-23 |
| 1093321234 | Oksana Petsukh | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-09-22 |
| 1841806114 | Madiha Shah | Pharmacist | 20 York St, New Haven, CT 06510-3220 | 2020-09-21 |
| 1053926303 | Tanyeri Barak | Student in an Organized Health Care Education/Training Program | 20 York St, Tompkins 226, New Haven, CT 06510-3220 | 2020-09-14 |
| 1548875776 | Lisa Wrubel | Registered Nurse | 20 York St, New Haven, CT 06510-3220 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early 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 |
|---|---|---|---|---|
| 1023158904 | Kathryn A Mcvicar | Psychiatry & Neurology | 330 Cedar St # Lmp3088, Yale Medical Pediatric Neurology, New Haven, CT 06510-3218 | 2007-02-08 |
| 1801215561 | Shilpa Dass | Psychiatry & Neurology | 1 Park St, New Haven, CT 06504-8901 | 2014-04-09 |
| 1053656892 | Linda Lee Huh | Psychiatry & Neurology | 800 Howard Ave, New Haven, CT 06519-1369 | 2012-12-05 |
| 1508182767 | Vinita Knight | Psychiatry & Neurology | 333 Cedar St, Lmp 3088, New Haven, CT 06510-3206 | 2010-04-13 |
| 1578548327 | Sally E Shaywitz | Psychiatry & Neurology | 20 York St, Ynhh Children's Hospital, West Pavilion, 2nd Floor, New Haven, CT 06510-3220 | 2005-12-14 |
| 1891779658 | Geoffrey Miller | Psychiatry & Neurology | 20 York St, Ynhh Children's Hospital - Wp-2, New Haven, CT 06510-3220 | 2005-12-05 |
| 1346223575 | Laura R Ment | Psychiatry & Neurology | 20 York St, Ynhh Children's Hospital - Wp-2, New Haven, CT 06510-3220 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750583399 | Amanda W Pong | Psychiatry & Neurology | 50 Forest St, Apt 1421, Stamford, CT 06901 | 2007-06-05 |
| 1891701918 | Robert Louis Cerciello | Psychiatry & Neurology | 1001 Farmington Avenue, Ste 301, West Hartford, CT 06107-2121 | 2006-07-31 |
| 1750321428 | Azimuddin Kazi | Psychiatry & Neurology | 2590 Main St, Stratford, CT 06615-5838 | 2006-06-08 |
| 1356611875 | Lila Worden | Psychiatry & Neurology | 282 Washington St, Hartford, CT 06106-3322 | 2012-01-02 |
| 1134352263 | Robert L. Cercietto, M.d., P.C. | Psychiatry & Neurology | 1001 Farmington Avenue, Suite #301, West Hartford, CT 06107-2121 | 2009-08-24 |
| 1356503585 | Mark Linderman Schomer | Psychiatry & Neurology | 282 Washington St, Hartford, CT 06106-3322 | 2008-06-30 |
| 1053584573 | Jennifer E. Madan Cohen | Psychiatry & Neurology | 282 Washington St, Hartford, CT 06106-3322 | 2008-04-04 |
| 1538357892 | William R Yorns Jr. | Psychiatry & Neurology | 69 Sand Pit Rd, Suite 300, Danbury, CT 06810-4004 | 2007-10-11 |
| 1982630067 | Sanath Nallainathan | Psychiatry & Neurology | 2590 Main St, Stratford, CT 06615-5838 | 2006-06-23 |
| 1144296112 | Francine M Testa | Psychiatry & Neurology | 5 Durham Rd, Ste 1-7, Guilford, CT 06437 | 2006-02-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BENNETT A SHAYWITZ.
| 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.