DR. MARIO FAHED (NPI# 1548679525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548679525 |
| Entity Type | Individual |
| Full Name | DR. MARIO FAHED |
| Credential | M.D. |
| Practice Address |
10 Talcott Notch Farmington CT 06032 |
| Mailing Address |
263 Farmington Avenue Farmington CT 06030-8082 |
| Practice Telephone | 8606796700 |
| Practice Fax Number | 8606796736 |
| Mailing Telephone | 8606796700 |
| Mailing Fax Number | 8606796736 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2019-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
060187 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 263 Farmington Avenue, Farmington, CT 060308082 | 8606796700 | 8606796736 |
| 750 E Adams St, Syracuse, NY 132102306 | 3154643165 | 3154643178 |
| 950 Campbell Ave, West Haven, CT 065162770 | 2039325711 |
| Street Address |
10 TALCOTT NOTCH |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612477 | Julian Ford | Psychologist | 10 Talcott Notch, Farmington, CT 06030-0001 | 2005-07-11 |
| 1508491853 | Babitha Mathew | Nurse Practitioner | 10 Talcott Notch, Farmington, CT 06032 | 2020-03-06 |
| 1124505714 | Angela Marie Virella | Nurse Practitioner | 10 Talcott Notch, Farmington, CT 06032 | 2018-07-26 |
| 1477092773 | Angela Olivia Roberts | Nurse Practitioner | 10 Talcott Notch, Farmington, CT 06032 | 2017-02-20 |
| 1215073812 | Deborah Skinner Greene | Nurse Practitioner | 10 Talcott Notch, University of Connecticut Health Center, Dept of Psych, Farmington, CT 06030-6410 | 2007-01-30 |
| 1255418828 | Meadow Bifen Chen | Psychiatry & Neurology | 10 Talcott Notch, Farmington, CT 06032 | 2006-11-01 |
| 1033117080 | William Knoegel | Social Worker | 10 Talcott Notch, Farmington, CT 06030-0001 | 2005-07-13 |
| 1548268402 | Diane Crimmins-meyer | Counselor | 10 Talcott Notch, Farmington, CT 06030-0001 | 2005-07-13 |
| 1780682633 | Ronald Kadden | Psychologist | 10 Talcott Notch, Farmington, CT 06030-0001 | 2005-07-13 |
| 1225036254 | Howard Tennen | Psychologist | 10 Talcott Notch, Farmington, CT 06030-0001 | 2005-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1770144958 | Dominique Feterman Jimenez | Student in an Organized Health Care Education/Training Program | Internal Medicine Associates Outpatient Pavilion 2 West, 263 Farmington Avenue, Farmington, CT 06032 | 2019-06-27 |
| 1033770698 | Tiffany Otto | Nurse Practitioner | 27o Farmington Avenue, # 309, Farmington, CT 06032 | 2019-06-25 |
| 1124683941 | Aleksandra M Sliwinska | Student in an Organized Health Care Education/Training Program | Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1922663889 | Sean Ag Harford | Student in an Organized Health Care Education/Training Program | Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1710450507 | Kathy Jean Campbell | Occupational Therapist | 10 Birdseye Rd, Farmington, CT 06032 | 2019-01-04 |
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1588160998 | Sight Sensory Rehabilitation Center, Pllc | Optometrist | 10 Birdseye Road, Farmington, CT 06032 | 2018-04-04 |
| Find all providers in zip 06032 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174156152 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 115 Elm St Ste I, Farmington, MN 55024-1031 | 2020-02-18 |
| 1679950984 | Jafreen Ahmed | Psychiatry & Neurology | 263 Farmington Ave # Mc1410, Farmington, CT 06030-0002 | 2015-05-06 |
| 1568705978 | Phelan Elizabeth Maruca-sullivan | Psychiatry & Neurology | 10 Talcott Nothc, Farmington, CT 06032-0001 | 2013-04-03 |
| 1659647519 | Thomas J. Vanhoof | Psychiatry & Neurology | 14 Crestwood Cir, Farmington, CT 06032-1123 | 2012-03-26 |
| 1134312671 | David Matuskey | Psychiatry & Neurology | 10 Talcott Notch Rd Ste 3e, Farmington, CT 06032-1800 | 2007-08-18 |
| 1275639106 | John Sytsma | Psychiatry & Neurology | 144 High St, Farmington, ME 04938-1946 | 2006-09-16 |
| 1629084710 | Matthew J Gardiner | Psychiatry & Neurology | 808 Spring Pond Dr, Farmington, UT 84025-3853 | 2006-07-31 |
| 1457371049 | Sohrab Zahedi | Psychiatry & Neurology | 6 Forest Park Dr, Suite # 5, Farmington, CT 06032-1480 | 2006-07-19 |
| 1366474462 | Carole Black Cohen | Psychiatry & Neurology | 10 Forest Park Dr, Farmington, CT 06032-1499 | 2006-07-07 |
| 1386613354 | Glenn Konopaske | Psychiatry & Neurology | Uconn Health, Dept. of Psychiatry, 263 Farmington Ave, Farmington, CT 06030-0001 | 2006-03-14 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06032 |
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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.