Active NPIOrganization

Mercury Medical

Psychiatry & Neurology, Psychiatry in West Haven, Connecticut

NPI Number1598015208
Practice location
171 Grove Pl, West Haven, CT 06516-6438
Fax
—
Last updated
September 11, 2012

Mercury Medical is a healthcare organization based in West Haven, CT. Mercury Medical practices in West Haven, CT. The NPI Number for Mercury Medical is 1598015208 and holds a License No. 007163 (CT). The current practice location address for Mercury Medical is 171 Grove Pl, West Haven, CT 06516-6438 and can be reached out via phone at 616-690-1835.

Provider Profile Details

NPI Number
1598015208
Provider Name
Mercury Medical
Provider Entity Type
Organization
Address
171 Grove Pl, West Haven, CT 06516-6438
Phone Number
616-690-1835
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Organization Subpart
No
Authorized Official
Dr. Richard Andrew Sewell, MD · President · 616-690-1835
Provider Enumeration Date
September 11, 2012
Last Update Date
September 11, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
171 Grove Pl
West Haven, CT 06516-6438
Zip
06516-6438
Phone Number
616-690-1835
West Haven, CT 06516Get directions →

Provider Business Mailing Address Details

Address
171 Grove Pl
West Haven, CT 06516-6438
City
West Haven
State
CT
Zip
06516-6438
Phone Number
616-690-1835

License Information

License Number (1)
007163
License State (1)
CT
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
045978
License State (2)
CT
Taxonomy (2)
Psychiatry & Neurology, Neurology · 2084N0400X
License Number (3)
045978
License State (3)
CT
Taxonomy (3)
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 Mercury Medical?

The NPI number of Mercury Medical is 1598015208. It was assigned on September 11, 2012 and is currently active in the NPPES registry.

What is the specialty of Mercury Medical?

Mercury Medical is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in CT under license number 007163.

Where does Mercury Medical practice?

The practice location is 171 Grove Pl, West Haven, CT 06516-6438. The office can be reached at 616-690-1835 (phone).

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 1598015208 directly on the NPPES registry website.

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