CHILD & ADOLESCENT PSYCHIATRIC CARE (NPI# 1093142010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093142010 |
| Entity Type | Organization |
| Organization Name | CHILD & ADOLESCENT PSYCHIATRIC CARE |
| Practice Address |
57 North St Suite 218 Danbury CT 06810-5660 |
| Practice Telephone | 2036170790 |
| Practice Fax Number | 2037970877 |
| Mailing Telephone | 2036170790 |
| Mailing Fax Number | 2037970877 |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-16 |
| Authorized Official Name | ANTON FRY (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2036170790 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CHILD & ADOLESCENT PSYCHIATRIC CARE LLC | 57 North St Ste 218, Danbury, CT 06810 |
| Street Address |
57 NORTH ST SUITE 218 |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-5660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678492 | Joseph J Bianchini | Podiatrist | 57 North St, Suite 108, Danbury, CT 06810-5660 | 2005-06-09 |
| 1750816120 | Gregory Banks Counseling, LLC | Counselor | 57 North St, Suite 217, Danbury, CT 06810-5660 | 2017-04-24 |
| 1649711839 | Wholelistic Self, LLC | Counselor | 57 North St, Suite 312, Danbury, CT 06810-5660 | 2017-03-20 |
| 1649628991 | Ismail Khalil Almokyad | Student in an Organized Health Care Education/Training Program | 57 North St, Danbury, CT 06810-5660 | 2016-05-27 |
| 1104274521 | Majed Abdullah Y Alfi | Student in an Organized Health Care Education/Training Program | 57 North St, Suite 311, Danbury, CT 06810-5660 | 2016-05-26 |
| 1598113003 | Ahmad Ali Alharbi | Student in an Organized Health Care Education/Training Program | 57 North St, Suite 311, Danbury, CT 06810-5660 | 2016-05-25 |
| 1669820163 | Swati Patel | Student in an Organized Health Care Education/Training Program | 57 North St, Suite 311, Danbury, CT 06810-5660 | 2016-05-25 |
| 1538543459 | Francie Vanbuskirk | Dental Hygienist | 57 North St, Danbury, CT 06810-5660 | 2015-07-10 |
| 1982088704 | George Hanna | Student in an Organized Health Care Education/Training Program | 57 North St, Danbury, CT 06810-5660 | 2015-07-10 |
| 1477934990 | Ali Ershadi | Student in an Organized Health Care Education/Training Program | 57 North St, Danbury, CT 06810-5660 | 2015-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of 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 |
|---|---|---|---|---|
| 1205083359 | Robert Khalil | Psychiatry & Neurology | 7 Old Sherman Tpke Ste 102, Danbury, CT 06810-4174 | 2008-08-20 |
| 1881850360 | Jason Velasco | Psychiatry & Neurology | 87 West St, Danbury, CT 06810-6528 | 2008-08-04 |
| 1740278589 | Daniel R Kelleher | Psychiatry & Neurology | 72 North St Ste 300, Danbury, CT 06810-5653 | 2005-10-06 |
| 1841460300 | Elba Antonia Bello | Psychiatry & Neurology | 24 Hospital Ave, Danbury, CT 06810-6099 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649667106 | Ayodola Adigun | Psychiatry & Neurology | 200 Broad St Apt 2214, Stamford, CT 06901-2070 | 2015-04-22 |
| 1801209952 | Oscar A Gerdner | Psychiatry & Neurology | 167 Old Post Rd, Southport, CT 06890-1395 | 2014-06-06 |
| 1194165720 | H and B Quality Medical Care LLC | Psychiatry & Neurology | 2 Ivy Brook Rd Ste 120, Shelton, CT 06484-6416 | 2013-06-27 |
| 1659710242 | Ibrahim N. Orgun | Psychiatry & Neurology | 44 Craigemore Cir, Avon, CT 06001-3417 | 2013-06-18 |
| 1588007314 | Avery Grauer | Psychiatry & Neurology | 175 Copse Road, Madison, CT 06443 | 2013-04-11 |
| 1972864627 | Sandra Boltax-stern, Md, PC | Psychiatry & Neurology | 78 Ansonia Road, Woodbridge, CT 06525 | 2012-05-30 |
| 1689972382 | Satwant Ahluwalia | Psychiatry & Neurology | 13 Woods Way, Redding, CT 06896-3200 | 2011-03-03 |
| 1962647842 | Pamela Edie Hoffman | Psychiatry & Neurology | 230 S Frontage Rd # G112, New Haven, CT 06519-1124 | 2008-12-08 |
| 1649423567 | Susan Jane Finkelstein | Psychiatry & Neurology | 3 Sylvan Road South, Westport, CT 06880 | 2008-10-23 |
| 1881861011 | Steven A Korn | Psychiatry & Neurology | 370 Bassett Rd, Anthem Behavioral Health, North Haven, CT 06473-4201 | 2008-05-16 |
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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.