Active NPIIndividual provider

Dr. Elena Bortan, MD

Psychiatry & Neurology, Neurology in Mystic, Connecticut

NPI Number1922216191
Practice location
100 Perkins Farm Drive, Suite 102, Mystic, CT 06355
Fax
860-245-0000
Last updated
July 19, 2022

Elena Bortan is a Psychiatry & Neurology, Neurology based in Mystic, CT. Elena Bortan practices in Mystic, CT and has the professional credentials of MD. The NPI Number for Elena Bortan is 1922216191 and holds a License No. 235541 (MA). The current practice location address for Elena Bortan is 100 Perkins Farm Drive, Suite 102, Mystic, CT 06355 and can be reached out via phone at 860-870-6385 and via fax at 860-245-0000.

Provider Profile Details

NPI Number
1922216191
Provider Name
Elena Bortan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
100 Perkins Farm Drive, Suite 102, Mystic, CT 06355
Phone Number
860-870-6385
Fax Number
860-245-0000
Primary Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X
Sole Proprietor
No
Provider Enumeration Date
May 19, 2007
Last Update Date
July 19, 2022
Certification Date
July 19, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Perkins Farm Drive
Suite 102
Mystic, CT 06355
City
Mystic
Zip
06355
Phone Number
860-870-6385
Fax Number
860-245-0000
Mystic, CT 06355Get directions →

Provider Business Mailing Address Details

Address
100 Perkins Farm Drive
Suite 102
Mystic, CT 06355
City
Mystic
State
CT
Zip
06355
Phone Number
201-724-4434

License Information

License Number (1)
235541
License State (1)
MA
Taxonomy (1)
Specialist · 174400000X
License Number (2)
048689
License State (2)
CT
Taxonomy (2)
Specialist · 174400000X
License Number (3)
048689
License State (3)
CT
Taxonomy (3)
Psychiatry & Neurology, Neurology · 2084N0400X · 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 Dr. Elena Bortan, MD?

The NPI number of Dr. Elena Bortan, MD is 1922216191. It was assigned on May 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Elena Bortan, MD?

Dr. Elena Bortan, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in MA under license number 235541.

Where does Dr. Elena Bortan, MD practice?

The practice location is 100 Perkins Farm Drive, Suite 102, Mystic, CT 06355. The office can be reached at 860-870-6385 (phone) or 860-245-0000 (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 1922216191 directly on the NPPES registry website.

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