Active NPIIndividual provider

Judith K Carlson, MD

Psychiatry & Neurology, Psychiatry in Waterbury, Connecticut

NPI Number1063599637
Practice location
55 West Main Street Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702
Fax
203-805-6432
Last updated
July 8, 2007

Judith Karen Carlson is a Psychiatry & Neurology, Psychiatry based in Waterbury, CT. Judith Karen Carlson practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Judith Karen Carlson is 1063599637 and holds a License No. 028260 (CT). The current practice location address for Judith Karen Carlson is 55 West Main Street Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 and can be reached out via phone at 203-805-6408 and via fax at 203-805-6432.

Provider Profile Details

NPI Number
1063599637
Provider Name
Judith Karen Carlson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 West Main Street Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702
Phone Number
203-805-6408
Fax Number
203-805-6432
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
November 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 West Main Street Suite 410
Western Connecticut Mental Health Network
Waterbury, CT 06702
Zip
06702
Phone Number
203-805-6408
Fax Number
203-805-6432
Waterbury, CT 06702Get directions →

Provider Business Mailing Address Details

Address
55 West Main Street Suite 410
Western Connecticut Mental Health Network
Waterbury, CT 06702
City
Waterbury
State
CT
Zip
06702
Phone Number
203-805-6408
Fax Number
203-805-6432

License Information

License Number
028260
License State
CT
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Judith K Carlson, MD?

The NPI number of Judith K Carlson, MD is 1063599637. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Judith K Carlson, MD?

Judith K Carlson, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in CT under license number 028260.

Where does Judith K Carlson, MD practice?

The practice location is 55 West Main Street Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702. The office can be reached at 203-805-6408 (phone) or 203-805-6432 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063599637 directly on the NPPES registry website.

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