DR. MANZOOR MUSTAFA USMAN (NPI# 1346361714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346361714 |
| Entity Type | Individual |
| Full Name | DR. MANZOOR MUSTAFA USMAN |
| Credential | M.D. |
| Practice Address |
29 Russell St New Britain CT 06052-1312 |
| Mailing Address |
77 Judy Ln Stamford CT 06906-2102 |
| Practice Telephone | 8608264985 |
| Mailing Telephone | 2032496355 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2010-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0101246243 | VA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
048314 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
29 RUSSELL ST |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06052-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497181929 | Erin Byrne | Counselor | 29 Russell St, New Britain, CT 06052-1312 | 2013-09-16 |
| 1659687622 | Community Mental Health Affiliates | Community/Behavioral Health | 29 Russell St, New Britain, CT 06052-1312 | 2010-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604905 | Lynn Fazzino | Physical Therapist | Cora, 136 West Main St, New Britain, CT 06052 | 2020-03-18 |
| 1265927826 | Marie Susie Gustin | Psychologist | 365 Shuttle Meadow Ave, New Britain, CT 06052 | 2018-06-26 |
| 1942711718 | Ashley R Stevens | Nurse Practitioner | 22 Cedar St., New Britain, CT 06052 | 2017-10-19 |
| 1740710417 | Roxanne Guzze | Pharmacy Technician | 470 Hartford Road, New Britain, CT 06052 | 2017-06-15 |
| 1417483165 | Liberty Integrated Behavioral Health, LLC | Nurse Practitioner | 18 Hart St., New Britain, CT 06052 | 2017-05-02 |
| 1518233022 | Kristy Messier | Counselor | 73 Cedar St., The Hospital of Central Connecticut, New Britain, CT 06052 | 2012-03-29 |
| 1629374178 | Liberty Healthcare, LLC | Nurse Practitioner | 18 Hart St, New Britain, CT 06052 | 2011-02-01 |
| 1528207800 | Colleen M Picone | Social Worker | 55 Winthrop Street, New Britain, CT 06052 | 2009-02-11 |
| 1902073166 | Joseph Paladino | Durable Medical Equipment & Medical Supplies | 39 Brooklawn St, New Britain, CT 06052 | 2008-05-15 |
| 1861667768 | Elizabeth Kartsen | Audiologist | 292 West Main Street, Grove Hill Medical Center, PC, New Britain, CT 06052 | 2008-04-23 |
| Find all providers in zip 06052 | ||||
| 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 |
|---|---|---|---|---|
| 1689778284 | Teresa Thuyai Dinh Lee | Psychiatry & Neurology | 345 Linwood St, New Britain, CT 06050 | 2006-09-12 |
| 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 |
| 1205083359 | Robert Khalil | Psychiatry & Neurology | 7 Old Sherman Tpke Ste 102, Danbury, CT 06810-4174 | 2008-08-20 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRITAIN |
| Zip Code | 06052 |
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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.