CHILD ADULT AND ADDICTION PSYCHIATRIC SERVICES LLC (NPI# 1972724888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972724888 |
| Entity Type | Organization |
| Organization Name | CHILD ADULT AND ADDICTION PSYCHIATRIC SERVICES LLC |
| Practice Address |
123 York St Suite 1-d New Haven CT 06511-5614 |
| Practice Telephone | 2037858655 |
| Practice Fax Number | 2037858422 |
| Mailing Telephone | 2037858655 |
| Mailing Fax Number | 2037858422 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VIVEK AGNIHOTRI (M.D.) |
| Authorized Official Telephone | 2037858655 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
041142 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
123 YORK ST SUITE 1-D |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558382432 | Dean G Cloutier | Dentist | 123 York St, Suite 4l, New Haven, CT 06511-5614 | 2006-07-23 |
| 1407294804 | Brian Lin | Dentist | 123 York St, Suite 4l, New Haven, CT 06511-5614 | 2013-06-06 |
| 1902171721 | Jennifer Noto, Lcsw, LLC. | Clinic/Center | 123 York St, 1 D, New Haven, CT 06511-5614 | 2012-03-12 |
| 1447401302 | Joong S. Lee | Dentist | 123 York St, 3-h, New Haven, CT 06511-5614 | 2008-10-08 |
| 1609916089 | New Haven Dental Group | Dentist | 123 York St, Suite 4l, New Haven, CT 06511-5614 | 2007-02-07 |
| 1801936448 | Andrea Adimando | Nurse Practitioner | 123 York St, Suite 1d, New Haven, CT 06511-5614 | 2007-02-06 |
| 1316030729 | William Mark Sherman | Psychologist | 123 York St, Suite 2b, New Haven, CT 06511-5614 | 2006-09-30 |
| 1386756658 | John William Dean IIi | Dentist | 123 York St, Suite H, New Haven, CT 06511-5614 | 2006-08-31 |
| 1841203072 | John P Plachtyna | Dentist | 123 York St, Suite 4l, New Haven, CT 06511-5614 | 2006-08-15 |
| 1053322859 | Jack David Berns | Dentist | 123 York St, Suite 2j, New Haven, CT 06511-5614 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023370186 | Maria Ghanbari Motlagh | Psychiatry & Neurology | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2012-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1154583748 | Zinaida Boutaeva | Psychiatry & Neurology | 6232 Avalon Dr W, Orange, CT 06477-3679 | 2008-06-25 |
| 1144406802 | Shanthi Mogali | Psychiatry & Neurology | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2008-01-11 |
| 1669402343 | Jean Carl Jarda | Psychiatry & Neurology | 28-2 Shunpike Rd, Cromwell, CT 06416 | 2006-07-05 |
| 1336124676 | Yuencheng Han | Psychiatry & Neurology | 750 Straits Tpke, Middlebury, CT 06762-2833 | 2005-12-09 |
| 1831647957 | Straun Health & Wellness | Psychiatry & Neurology | 1224 Mill St, Bldg B, East Berlin, CT 06023-1159 | 2016-09-18 |
| 1528444346 | Marie-josee A. Lynch | Psychiatry & Neurology | 950 Campbell Ave, West Haven, CT 06516-2770 | 2015-08-04 |
| 1215367081 | Gengyun Wen | Psychiatry & Neurology | 189 Storrs Rd, Natchaug Hospital, Mansfield Center, CT 06250-1683 | 2013-11-15 |
| 1043560287 | Michael Kofi Adusei | Psychiatry & Neurology | 30 Shelburne Rd, Stamford Hospital, Stamford, CT 06902 | 2012-09-14 |
| 1205077542 | Brighter Concept Inc. | Psychiatry & Neurology | 2000 Post Rd, Suite # Ll 105, Fairfield, CT 06824-5730 | 2009-03-17 |
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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.