MENTAGEN ADVANCED BEHAVIORAL MEDICINE, PC (NPI# 1538428206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538428206 |
| Entity Type | Organization |
| Organization Name | MENTAGEN ADVANCED BEHAVIORAL MEDICINE, PC |
| Practice Address |
74 New London Tpke Suite 5 Glastonbury CT 06033-4204 |
| Practice Telephone | 8603384864 |
| Mailing Telephone | 8603384864 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |
| Authorized Official Name | MOHAMMAD SHAMSI (OWNER) |
| Authorized Official Telephone | 8603384864 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
74 NEW LONDON TPKE SUITE 5 |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477715175 | Carmen I Santos | Psychologist | 74 New London Tpke, Suite 2, Glastonbury, CT 06033-2037 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| 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 |
|---|---|---|---|---|
| 1225164320 | Milind Kale | Psychiatry & Neurology | 140 Glastonbury Blvd Ste 30, Glastonbury, CT 06033-4459 | 2007-02-26 |
| 1669523213 | Hasmukh J Shah | Psychiatry & Neurology | 100 Wood Pond Rd, Glastonbury, CT 06033-3702 | 2007-01-12 |
| 1215095799 | Richard Alan Miller | Psychiatry & Neurology | 122 A Naubuc Avenue, Glastonbury, CT 06033 | 2006-12-05 |
| 1861449829 | Wayne H Cotton | Psychiatry & Neurology | 39 New London Tpke, Suite 230e, Glastonbury, CT 06033-2061 | 2006-05-27 |
| 1821050915 | Stephen R Holzman | Psychiatry & Neurology | 200 Oak St, Glastonbury, CT 06033-2320 | 2006-04-04 |
| 1760453138 | Michael J Pierce | Psychiatry & Neurology | 701 Hebron Ave, Suite 1, Glastonbury, CT 06033-2489 | 2006-02-01 |
| 1710152624 | Stephen R Holzman, Md LLC | Psychiatry & Neurology | 200 Oak St, Glastonbury, CT 06033-2320 | 2008-04-23 |
| 1154509347 | Robert G. Lussier, M.d., LLC | Psychiatry & Neurology | 36 Welles St, Suite 230, Glastonbury, CT 06033-2080 | 2008-02-10 |
| 1538287693 | Michael J Pierce Md LLC | Psychiatry & Neurology | 701 Hebron Ave, Suite 1, Glastonbury, CT 06033-2489 | 2007-03-27 |
| 1710044847 | Douglas Eric Chamberlin | Psychiatry & Neurology | 49 Welles St, Suite 202, Glastonbury, CT 06033-4205 | 2007-01-01 |
| Find all providers in GLASTONBURY | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
Please comment or provide details below to improve the information on MENTAGEN ADVANCED BEHAVIORAL MEDICINE, PC.
| 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.