Active NPIOrganization

Connecticut Neurodevelopmental Services

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Waterbury, Connecticut

NPI Number1467527580
Practice location
134 Grandview Ave, Waterbury, CT 06708-2507
Fax
203-755-3057
Last updated
September 30, 2013

Connecticut Neurodevelopmental Services is a healthcare organization based in Waterbury, CT. Connecticut Neurodevelopmental Services practices in Waterbury, CT. The NPI Number for Connecticut Neurodevelopmental Services is 1467527580 and holds a License No. 030847 (CT). The current practice location address for Connecticut Neurodevelopmental Services is 134 Grandview Ave, Waterbury, CT 06708-2507 and can be reached out via phone at 203-755-3279 and via fax at 203-755-3057.

Provider Profile Details

NPI Number
1467527580
Provider Name
Connecticut Neurodevelopmental Services
Provider Entity Type
Organization
Address
134 Grandview Ave, Waterbury, CT 06708-2507
Phone Number
203-755-3279
Fax Number
203-755-3057
Organization Subpart
No
Authorized Official
Alok Bhargava, MD · Owner · 203-755-3279
Provider Enumeration Date
November 22, 2006
Last Update Date
September 30, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
134 Grandview Ave
Waterbury, CT 06708-2507
Zip
06708-2507
Phone Number
203-755-3279
Fax Number
203-755-3057
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
134 Grandview Ave
Suite# 208
Waterbury, CT 06708-2507
City
Waterbury
State
CT
Zip
06708-2507
Phone Number
203-755-3279
Fax Number
203-755-3057

License Information

License Number (1)
030847
License State (1)
CT
License Number (2)
030847
License State (2)
CT
Taxonomy (2)
Pediatrics · 208000000X
License Number (3)
003467
License State (3)
CT
Taxonomy (3)
Nurse Practitioner, Pediatrics · 363LP0200X
License Number (4)
003467
License State (4)
CT
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X
License Number (5)
004478
License State (5)
CT
Taxonomy (5)
Nurse Practitioner, Pediatrics · 363LP0200X
License Number (6)
004478
License State (6)
CT
Taxonomy (6)
Nurse Practitioner, Family · 363LF0000X
License Number (7)
030847
License State (7)
CT

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 Connecticut Neurodevelopmental Services?

The NPI number of Connecticut Neurodevelopmental Services is 1467527580. It was assigned on November 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Connecticut Neurodevelopmental Services?

Connecticut Neurodevelopmental Services is registered under the primary taxonomy Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (code 2084N0402X), licensed in CT under license number 030847.

Where does Connecticut Neurodevelopmental Services practice?

The practice location is 134 Grandview Ave, Waterbury, CT 06708-2507. The office can be reached at 203-755-3279 (phone) or 203-755-3057 (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 1467527580 directly on the NPPES registry website.

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