DR. ERUM SHAHAB (NPI# 1669434049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669434049 |
| Entity Type | Individual |
| Full Name | DR. ERUM SHAHAB |
| Credential | M.D. |
| Practice Address |
16 Main St Ellington CT 06029-3360 |
| Practice Telephone | 8608715402 |
| Practice Fax Number | 8608715413 |
| Mailing Telephone | 8608715402 |
| Mailing Fax Number | 8608715413 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2015-12-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
0431121 | CT | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0431121 | CT | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
043112 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1669434049 | 05 |
| Street Address |
16 MAIN ST |
| City | ELLINGTON |
| State | CT |
| Zip Code | 06029-3360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942792403 | Integrity Care and Counseling Services LLC | Counselor | 16 Main St, Ellington, CT 06029-3360 | 2018-05-31 |
| 1386006013 | My Story Counseling LLC | Community/Behavioral Health | 16 Main St, Ellington, CT 06029-3360 | 2016-03-22 |
| 1417203142 | Serita M Smith | Nurse Practitioner | 16 Main St, Ellington, CT 06029-3360 | 2012-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073909487 | Kristen Marie Martel | Behavioral Analyst | 4 Windermere Vlg Dr, Ellington, CT 06029 | 2015-04-13 |
| 1972747111 | Lauren Jill Powers | Dentist | 17 5 West Road, Ellington, CT 06029 | 2009-04-30 |
| 1922215821 | Luke E O'connor | Internal Medicine | 23 Ellington Ave, Po 878 Willimantic Ct 06022, Ellington, CT 06029 | 2007-05-17 |
| 1235238643 | Sean Noel | Chiropractor | 105 West Rd Rte 83, Ellington, CT 06029 | 2006-09-22 |
| 1821420977 | Just Breathe Connecticut, LLC | Counselor | 4 West Rd, Ellington, CT 06029 | 2013-07-31 |
| 1518270446 | Kerry Lynn Tuttle | Social Worker | 4 West Rd, Ellington, CT 06029 | 2010-07-20 |
| 1134269004 | Ellington Volunteer Ambulance Corps Inc | Ambulance | 41 Maple St, Ellington, CT 06029-0071 | 2007-02-08 |
| 1225399108 | Endodontic Specialists LLC | Dentist | 2 Chucrh St # 670, Ellington, CT 06029-0670 | 2012-06-06 |
| 1821008202 | Stanislav Moline | Dentist | 2 Chucrh St, # 670, Ellington, CT 06029-0670 | 2006-08-09 |
| 1700267473 | Andrew Michael Janiga | Dentist | 2 Brockway Rd, Ellington, CT 06029-2100 | 2015-06-17 |
| Find all providers in zip 06029 | ||||
| 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 |
|---|---|---|---|---|
| 1346859709 | Andre Burey Md Pllc | Psychiatry & Neurology | 1051 Post Rd Ste 1, Darien, CT 06820-5436 | 2020-07-30 |
| 1245848670 | Behavioral Wellness Partners | Psychiatry & Neurology | 167 Cherry St #101, Milford, CT 06460-3466 | 2020-07-22 |
| 1659905313 | Restart Health and Wellness LLC | Psychiatry & Neurology | 1336 W Main St Ste 2a, Waterbury, CT 06708-3122 | 2020-03-02 |
| 1407410921 | Dr. Katrina Furey, Md, LLC | Psychiatry & Neurology | 147 Durham Rd Ste 12ane, Madison, CT 06443-2675 | 2019-04-30 |
| 1063996221 | Alexia Bajwa Cortella | Psychiatry & Neurology | 5 Wedgewood Ct, Newtown, CT 06470-1792 | 2018-09-23 |
| 1427536101 | Mar Y Sol Mental Health Experts LLC | Psychiatry & Neurology | 50 Federal Rd Ste 1a, Danbury, CT 06810-6129 | 2018-08-03 |
| 1619470655 | Becky Kreuzer Aprn, Pmhnp, LLC | Psychiatry & Neurology | 22 Pine St Ste 205, Bristol, CT 06010-6949 | 2018-03-15 |
| 1982104063 | Carl Chi | Psychiatry & Neurology | 22 Goodrich Ln, Portland, CT 06480-1063 | 2018-02-15 |
| 1659808699 | Psy-visions of Connecticut, LLC | Psychiatry & Neurology | 88 Main St S Ste B201, Southbury, CT 06488-2276 | 2017-05-22 |
| 1639605082 | Neil Michael Kurtz | Psychiatry & Neurology | 165 Old Redding Road, Weston, CT 06883 | 2017-05-04 |
| Find all providers with the same taxonomy | ||||
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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.