Active NPI
Alicia T Carmona, M.D.
- Child & Adolescent Psychiatry Physician
- Torrington, CT
National Provider Identifier
1013056977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 015001
- Practice address
- 100 Commercial Blvd
Torrington, CT 06790-3098 - Phone
- (860) 482-8561
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 015001 | CT | Primary |
Addresses
Primary practice location
100 Commercial Blvd
Torrington, CT 06790-3098
Mailing address
801 Farmington Ave
West Hartford, CT 06119-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015001 | Other | CT | STATE OF CT - DPH LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015001 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013056977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 FARMINGTON AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COMMERCIAL BLVD",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067903098",
"telephone_number": "860-482-8561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMONA",
"first_name": "ALICIA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CT",
"license": "015001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CT - DPH LICENSE",
"identifier": "015001",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.