Jay Tillman, MD
Psychiatry & Neurology, Psychiatry in Canton, Connecticut
1497774384- Practice location
- 50 Albany Turnpike, Canton Gateway Office Park #16, Canton, CT 06019
- Phone
- 860-693-8037
- Fax
- 860-693-8039
- Last updated
- July 8, 2007
Jay Tillman is a Psychiatry & Neurology, Psychiatry based in Canton, CT. Jay Tillman practices in Canton, CT and has the professional credentials of MD. The NPI Number for Jay Tillman is 1497774384 and holds a License No. 038679 (CT). The current practice location address for Jay Tillman is 50 Albany Turnpike, Canton Gateway Office Park #16, Canton, CT 06019 and can be reached out via phone at 860-693-8037 and via fax at 860-693-8039.
Provider Profile Details
- NPI Number
- 1497774384
- Provider Name
- Jay Tillman
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 50 Albany Turnpike, Canton Gateway Office Park #16, Canton, CT 06019
- Phone Number
- 860-693-8037
- Fax Number
- 860-693-8039
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 19, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 Albany Turnpike
Canton Gateway Office Park #16
Canton, CT 06019 - City
- Canton
- State
- Connecticut
- Zip
- 06019
- Phone Number
- 860-693-8037
- Fax Number
- 860-693-8039
Provider Business Mailing Address Details
- Address
- 10 Fielding Woods
West Granby, CT 06090 - City
- West Granby
- State
- CT
- Zip
- 06090
- Phone Number
- 860-693-8037
- Fax Number
- 860-693-8039
License Information
- License Number
- 038679
- License State
- CT
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jay Tillman, MD?
The NPI number of Jay Tillman, MD is 1497774384. It was assigned on July 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Jay Tillman, MD?
Jay Tillman, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in CT under license number 038679.
Where does Jay Tillman, MD practice?
The practice location is 50 Albany Turnpike, Canton Gateway Office Park #16, Canton, CT 06019. The office can be reached at 860-693-8037 (phone) or 860-693-8039 (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 1497774384 directly on the NPPES registry website.