DR. RAFIK SIDAROS (NPI# 1962758698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962758698 |
| Entity Type | Individual |
| Full Name | DR. RAFIK SIDAROS |
| Credential | M.D. |
| Practice Address |
34 Park St New Haven CT 06519-1109 |
| Practice Telephone | 2039747169 |
| Mailing Telephone | 2039747169 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2016-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
54819 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
34 PARK ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972162170 | Laura Yoviene Sykes | Psychologist | 34 Park St, New Haven, CT 06519-1109 | 2019-06-11 |
| 1487218228 | Josina Aileen James | Social Worker | 34 Park St, New Haven, CT 06519-1109 | 2019-04-26 |
| 1699245845 | Brittany Quagan | Counselor | 34 Park St, New Haven, CT 06519-1109 | 2018-11-30 |
| 1750874392 | Vikiana Gray | Counselor | 34 Park St, New Haven, CT 06519-1109 | 2018-06-08 |
| 1962931030 | Guinell L Stanley | Social Worker | 34 Park St, New Haven, CT 06519-1109 | 2017-06-12 |
| 1629436258 | Michael Suraci | Counselor | 34 Park St, New Haven, CT 06519-1109 | 2016-02-10 |
| 1093170524 | Jeanne Leblanc | Social Worker | 34 Park St, New Haven, CT 06519-1109 | 2015-12-29 |
| 1326424938 | Mayra A Aguirre | Social Worker | 34 Park St, New Haven, CT 06519-1109 | 2015-08-05 |
| 1346637360 | Emma Ava Lo | Psychiatry & Neurology | 34 Park St, Acute Services, New Haven, CT 06519 | 2015-04-16 |
| 1811382872 | Carmen Gabrielle Parker | Psychiatry & Neurology | 34 Park St, New Haven, CT 06519-1109 | 2015-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841746369 | Mohit Singh | Psychiatry & Neurology | 360 State St., 1115, New Haven, CT 06510 | 2016-08-26 |
| 1851659015 | Naomi Lian | Psychiatry & Neurology | 184 Liberty St, New Haven, CT 06519-1625 | 2012-04-25 |
| 1619154861 | Maya Prabhu | Psychiatry & Neurology | 20 York St # T-209, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2008-01-29 |
| 1053452011 | Frank G Fortunati Jr. | Psychiatry & Neurology | 234 Church St, Suite 301, New Haven, CT 06510-1804 | 2007-02-10 |
| 1396839759 | Howard Victor Zonana | Psychiatry & Neurology | 34 Park St, Rm 153, New Haven, CT 06519-1109 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841533551 | Donald Ross Grayson | Psychiatry & Neurology | 195 Farmington Avenue, Suite 203, Farmington, CT 06032 | 2013-04-01 |
| 1619113446 | Haleh Ghanizadeh | Psychiatry & Neurology | 83 West Ln, Ridgefield, CT 06877-4905 | 2008-12-29 |
| 1801052386 | Taiye Akinwande Ogundipe | Psychiatry & Neurology | 1 Turkey Hill Rd S Ste 100, Westport, CT 06880-5525 | 2008-08-04 |
| 1275613820 | Patrick Kevin Fox | Psychiatry & Neurology | Connecticut Valley Hospital, Russell Hall, Silver Street, Middletown, CT 06457 | 2006-10-17 |
| 1417929068 | Brenda L Planck | Psychiatry & Neurology | O'brien Drive, Middletown, CT 06457 | 2006-02-07 |
| 1467862706 | Elizabeth M Burch | Psychiatry & Neurology | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2014-05-07 |
| 1609155308 | Karen H Brody, Md, LLC | Psychiatry & Neurology | 22 5th St, Stamford, CT 06905-5030 | 2011-08-11 |
| 1215269725 | Vinneth Veronica Carvalho | Psychiatry & Neurology | 201 W Main St, Niantic, CT 06357-1014 | 2010-02-08 |
| 1598091670 | Kenneth M. Selig | Psychiatry & Neurology | 257 New London Tpke, Glastonbury, CT 06033-4550 | 2009-10-26 |
| 1336474055 | Kenneth D. Galen | Psychiatry & Neurology | 1000 Silver St., Middletown, CT 06489 | 2009-10-14 |
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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.