DR. WALID A. JAZIRI (NPI# 1760538102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760538102 |
| Entity Type | Individual |
| Full Name | DR. WALID A. JAZIRI |
| Credential | M.D. |
| Practice Address |
108 New London Tpke Norwich CT 06360-2645 |
| Practice Telephone | 8608893052 |
| Practice Fax Number | 8608890926 |
| Mailing Telephone | 8608893052 |
| Mailing Fax Number | 8608890926 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
027994 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MD LICENSE NUMBER | 027994 | 01 |
| Street Address |
108 NEW LONDON TPKE |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588653596 | Kathleen Bonin | Nurse Practitioner | 108 New London Tpke, Norwich, CT 06360-2645 | 2005-10-21 |
| 1023479375 | Jeigh Hayes Health and Wellness | Counselor | 108 New London Tpke, Office 3, Suite A, Norwich, CT 06360-2645 | 2016-03-15 |
| 1891130597 | Kelly Jaziri | Psychiatry & Neurology | 108 New London Tpke, Norwich, CT 06360 | 2013-05-08 |
| 1467600692 | William Scott Cherry | Social Worker | 108 New London Tpke, Norwich Psychiatric Center, Norwich, CT 06360 | 2008-08-29 |
| 1073784369 | Faith Marrion | Social Worker | 108 New London Tpke, Norwich, CT 06360-2645 | 2008-03-14 |
| 1629282181 | Liliana Galan Md LLC | Internal Medicine | 108 New London Tpke, Norwich, CT 06360-2645 | 2007-05-10 |
| 1518003680 | Norwich Psychiatric Center | Counselor | 108 New London Tpke, Norwich, CT 06360-2645 | 2007-01-29 |
| 1669518635 | Mary E. Kennedy | Nurse Practitioner | 108 New London Tpke, Norwich, CT 06360-2645 | 2007-01-29 |
| 1235275256 | Janine D. Sylvia | Counselor | 108 New London Tpke, Norwich, CT 06360-2645 | 2007-01-29 |
| 1588700538 | Eileen M. Moore | Nurse Practitioner | 108 New London Tpke, Norwich, CT 06360-2645 | 2007-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
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| 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 |
|---|---|---|---|---|
| 1417143603 | Diaa F Noaman | Psychiatry & Neurology | 22 Case St, Norwich, CT 06360-2215 | 2007-09-20 |
| 1730259797 | James Maurice Napier | Psychiatry & Neurology | 295 Main Street, Norwich, VT 05055 | 2006-11-08 |
| 1982783247 | Comprehensive Psychiatric Care PC | Psychiatry & Neurology | 200 West Town St, Norwich, CT 06360 | 2006-11-06 |
| 1497841183 | Miranda Mohabir | Psychiatry & Neurology | 10 Henry St, Norwich, NY 13815-1302 | 2006-10-04 |
| 1588629679 | Martin Jude Maloney | Psychiatry & Neurology | 77 E Town St, Norwich, CT 06360-2338 | 2006-04-20 |
| 1053967463 | John Kemp | Psychiatry & Neurology | 2 Cliff St, Norwich, CT 06360-5850 | 2019-08-12 |
| 1760916878 | Ayala Danzig | Psychiatry & Neurology | 326 Washington St, Norwich, CT 06360-2740 | 2017-04-14 |
| 1457761587 | Manu Suresh Sharma | Psychiatry & Neurology | 326 Washington St, Norwich, CT 06360 | 2014-04-28 |
| 1891130597 | Kelly Jaziri | Psychiatry & Neurology | 108 New London Tpke, Norwich, CT 06360 | 2013-05-08 |
| 1639482334 | Hanady Gouta | Psychiatry & Neurology | 326 Washington St, Norwich, CT 06360-2740 | 2010-07-22 |
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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.