Waire LLC
Psychiatry & Neurology, Psychiatry in Ellington, Connecticut
1871744243- Practice location
- 105 West RD, Ellington, CT 06029-5700
- Phone
- 860-871-5402
- Fax
- 860-871-5413
- Last updated
- February 24, 2015
Waire LLC is a healthcare organization based in Ellington, CT. Waire LLC practices in Ellington, CT. The NPI Number for Waire LLC is 1871744243 and holds a License No. 043112 (CT). The current practice location address for Waire LLC is 105 West RD, Ellington, CT 06029-5700 and can be reached out via phone at 860-871-5402 and via fax at 860-871-5413.
Provider Profile Details
- NPI Number
- 1871744243
- Provider Name
- Waire LLC
- Provider Entity Type
- Organization
- Address
- 105 West RD, Ellington, CT 06029-5700
- Phone Number
- 860-871-5402
- Fax Number
- 860-871-5413
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Organization Subpart
- No
- Authorized Official
- Dr. Erum Shahab, MD · Owner · 860-871-5402
- Other Names
- Ellington Behavioral Health (Doing Business As)
- Provider Enumeration Date
- October 3, 2008
- Last Update Date
- February 24, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 105 West RD
Ellington, CT 06029-5700 - City
- Ellington
- State
- Connecticut
- Zip
- 06029-5700
- Phone Number
- 860-871-5402
- Fax Number
- 860-871-5413
Provider Business Mailing Address Details
- Address
- 105 West RD
Ellington, CT 06029-4247 - City
- Ellington
- State
- CT
- Zip
- 06029-4247
- Phone Number
- 860-871-5402
- Fax Number
- 860-871-5413
License Information
- License Number (1)
- 043112
- License State (1)
- CT
- Taxonomy (1)
- Clinic/Center · 261Q00000X
- License Number (2)
- 043112
- License State (2)
- CT
- Taxonomy (2)
- Psychiatry & Neurology, Addiction Psychiatry · 2084P0802X
- License Number (3)
- 043112
- License State (3)
- CT
- Taxonomy (3)
- 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. | |||
Other Psychiatry & Neurology, Psychiatry providers near Ellington, CT
View all Psychiatry & Neurology, Psychiatry providers in Ellington →- Dr. Erum Shahab, MDPsychiatry & Neurology, Psychiatry · NPI 1669434049
- Mrs. Autumn M Beckstein, LPCACounselor, Professional · NPI 1881590669
- Lisa O'BriantSocial Worker, Clinical · NPI 1033013552
- Karen Yencho, APRNNurse Practitioner, Pediatrics · NPI 1811165145
- Chrissie N Valentin, APRN, PMHNP-BCNurse Practitioner, Psych/Mental Health · NPI 1518774942
- Erin Flanagan, BCBA, LBABehavior Analyst · NPI 1043868342
Frequently Asked Questions
What is the NPI number of Waire LLC?
The NPI number of Waire LLC is 1871744243. It was assigned on October 3, 2008 and is currently active in the NPPES registry.
What is the specialty of Waire LLC?
Waire LLC is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in CT under license number 043112.
Where does Waire LLC practice?
The practice location is 105 West RD, Ellington, CT 06029-5700. The office can be reached at 860-871-5402 (phone) or 860-871-5413 (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 1871744243 directly on the NPPES registry website.