DR. RAVEEN MEHENDRU (NPI# 1174565253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174565253 |
| Entity Type | Individual |
| Full Name | DR. RAVEEN MEHENDRU |
| Credential | M.D. |
| Practice Address |
Hartford Hospital Geriatric Psychiatry 200 Retreat Avenue Hartford CT 06106 |
| Mailing Address |
Hartford Hospital Professional Services Pob 40,000 Dept 634 Hartford CT 06151-0634 |
| Practice Telephone | 8605457189 |
| Mailing Telephone | 8605457602 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
043763 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
HARTFORD HOSPITAL GERIATRIC PSYCHIATRY 200 RETREAT AVENUE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427169549 | Julian Offsay | Psychiatry & Neurology | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106 | 2006-08-31 |
| 1407870579 | Karen Blank | Psychiatry & Neurology | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06102 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366428831 | Javier Salabarria | Psychiatry & Neurology | 67 Masonic Ave, Wallingford, CT 06492-3095 | 2005-12-16 |
| 1568014728 | Step Up Behavioral Care PC LLC | Psychiatry & Neurology | 111 Westcott Rd, Danielson, CT 06239-2929 | 2019-07-09 |
| 1407375363 | Connecticut Geriatric Neuropsychiatry, LLC | Psychiatry & Neurology | 558 Hopmeadow St, Simsbury, CT 06070-2415 | 2017-09-12 |
| 1457641805 | Unique Approach, LLC | Psychiatry & Neurology | 464 Wolcott Rd, Attn: Jonathan Brenes, Wolcott, CT 06716-2626 | 2011-04-19 |
| 1801186846 | Brandon Yarns | Psychiatry & Neurology | 300 George St Ste 901, New Haven, CT 06511-6662 | 2011-04-11 |
| 1275769549 | Isis Burgos-chapman | Psychiatry & Neurology | 400 Columbus Ave, New Haven, CT 06519-1233 | 2009-06-01 |
| 1225219108 | Shragit Glazman | Psychiatry & Neurology | 55 Hatchetts Hill Rd, Old Lyme, CT 06371 | 2007-11-19 |
| 1487710141 | Naomi Marta Mendelovicz | Psychiatry & Neurology | 365 Montauk Ave, New London, CT 06320-4700 | 2006-12-28 |
| 1720154198 | Subbarao Bollepalli | Psychiatry & Neurology | 97 Barnes Rd, Suite #2, Wallingford, CT 06492-1885 | 2006-11-28 |
| 1457462673 | Maria Ditomasso | Psychiatry & Neurology | 88 Grandview Avenue, Waterbury, CT 06708-2509 | 2006-08-31 |
| 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.