SUDESHNA BASU (NPI# 1861683039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861683039 |
| Entity Type | Individual |
| Full Name | SUDESHNA BASU |
| Other Name | SUDESHNA GUHA |
| Credential | M.D. |
| Practice Address |
200 Retreat Avenue Hartford Hospital Child Psychiatry Hartford CT 06106-3310 |
| Mailing Address |
P.o. Box 415933 Hartford Hospital Professional Services Boston MA 02241-5933 |
| Practice Telephone | 8605457493 |
| Mailing Telephone | 8605457602 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2012-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
049663 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001496637 | 05 |
| Street Address |
200 RETREAT AVENUE HARTFORD HOSPITAL CHILD PSYCHIATRY |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824275 | Mary Coeline Colpoys | Internal Medicine | 200 Retreat Avenue, Hartford Hospital Medicine Dept, Hartford, CT 06106-3309 | 2005-07-12 |
| 1184269409 | Jessica Kibbe Harvell | Social Worker | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2019-11-11 |
| 1215417381 | Andrea Sobinski | Social Worker | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2018-08-18 |
| 1245728799 | Hannah Levy | Psychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept (anxiety Disorders), Hartford, CT 06106 | 2018-04-30 |
| 1326558578 | Katherine R Simeone | Counselor | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2017-10-02 |
| 1740709443 | Morgan Lee Madore | Nurse Practitioner | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106 | 2017-09-13 |
| 1265964415 | Elyse R Rosenberg | Psychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3390 | 2017-03-28 |
| 1598209124 | Adrienne R Allen | Psychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2016-12-16 |
| 1366984338 | Brianna Marie Blake | Psychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept., Hartford, CT 06106-3310 | 2016-11-08 |
| 1073060661 | Laura S Dodge | Social Worker | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept., Hartford, CT 06106-3310 | 2016-09-01 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1750795217 | Lovejit Kaur | Psychiatry & Neurology | 282 Washington St, Hartford, CT 06106-3322 | 2014-06-12 |
| 1972769776 | Ernest Jermin II | Psychiatry & Neurology | 500 Blue Hills Ave, Hartford, CT 06112-1500 | 2008-07-31 |
| 1841483138 | Francisco A Ripepi | Psychiatry & Neurology | 200 Retreat Ave, Hartford Hospital Child Psychiatry, Hartford, CT 06106 | 2007-08-21 |
| 1992903330 | Salma Malik | Psychiatry & Neurology | 200 Retreat Avenue, Hartford Hospital Child Psychiatry, Hartford, CT 06106-3309 | 2007-07-06 |
| 1821292392 | Ramesh K Hemnani | Psychiatry & Neurology | 80 Jefferson St, Hartford, CT 06106-5035 | 2007-06-11 |
| 1336351048 | Samya Hashem Hawley | Psychiatry & Neurology | 1680 Albany Ave, Hartford, CT 06105-1001 | 2007-05-04 |
| 1972721405 | Jeffrey Seth Landau | Psychiatry & Neurology | 682 Prospect Ave, Hartford, CT 06105-4238 | 2007-04-22 |
| 1538245766 | Bernard J Langenauer | Psychiatry & Neurology | 675 Tower Ave, Suite 301, Hartford, CT 06112-1260 | 2006-10-31 |
| 1457447187 | Robert A Sahl | Psychiatry & Neurology | 200 Retreat Avenue, Hartford Hospital Child Psychiatry, Hartford, CT 06106 | 2006-10-04 |
| 1689777088 | Lynn M Mangini | Psychiatry & Neurology | 200 Retreat Avenue, Hartford Hospital Child Psychiatry, Hartford, CT 06102 | 2006-09-07 |
| Find all providers in HARTFORD | ||||
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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.