Active NPIOrganization

567 Vauxhall, LLC

Psychiatry & Neurology, Psychiatry in Waterford, Connecticut

NPI Number1598198038
Practice location
567 Vauxhall Street Ext Ste 126, Waterford, CT 06385-4332
Fax
—
Last updated
August 20, 2013

567 Vauxhall, LLC is a healthcare organization based in Waterford, CT. 567 Vauxhall, LLC practices in Waterford, CT. The NPI Number for 567 Vauxhall, LLC is 1598198038 and holds a License No. CT 000159 (CT). The current practice location address for 567 Vauxhall, LLC is 567 Vauxhall Street Ext Ste 126, Waterford, CT 06385-4332 and can be reached out via phone at 860-444-0503.

Provider Profile Details

NPI Number
1598198038
Provider Name
567 Vauxhall, LLC
Provider Entity Type
Organization
Address
567 Vauxhall Street Ext Ste 126, Waterford, CT 06385-4332
Phone Number
860-444-0503
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Organization Subpart
No
Authorized Official
Dr. Martin Jude Maloney, DO · Psychiatrist · 860-444-0503
Provider Enumeration Date
August 20, 2013
Last Update Date
August 20, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
567 Vauxhall Street Ext Ste 126
Waterford, CT 06385-4332
Zip
06385-4332
Phone Number
860-444-0503
Waterford, CT 06385Get directions →

Provider Business Mailing Address Details

Address
567 Vauxhall Street Ext Ste 126
Waterford, CT 06385-4332
City
Waterford
State
CT
Zip
06385-4332
Phone Number
860-444-0503

License Information

License Number
CT 000159
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 567 Vauxhall, LLC?

The NPI number of 567 Vauxhall, LLC is 1598198038. It was assigned on August 20, 2013 and is currently active in the NPPES registry.

What is the specialty of 567 Vauxhall, LLC?

567 Vauxhall, LLC is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in CT under license number CT 000159.

Where does 567 Vauxhall, LLC practice?

The practice location is 567 Vauxhall Street Ext Ste 126, Waterford, CT 06385-4332. The office can be reached at 860-444-0503 (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 1598198038 directly on the NPPES registry website.

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