Individual provider Active NPI

Steven Alexander Weisblatt, M.D.

  • Psychiatry Physician
  • Woodbridge, CT
National Provider Identifier
1013067388
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
051741 Issued in CT
Practice address
38 Dogwood Cir
Woodbridge, CT 06525-1248
Phone
(203) 517-0550
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD-056667L PA
Psychiatry Physician 2084P0800X 165618 NY
Psychiatry Physician 2084P0800X 051741 CT Primary

Addresses

Primary practice location

38 Dogwood Cir
Woodbridge, CT 06525-1248

Mailing address

38 Dogwood Cir
Woodbridge, CT 06525-1248
Phone (203) 517-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 20, 2018 through Nov 20, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
051741CTMDPsychiatry Physician
165618NYMDPsychiatry Physician
MD-056667LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Yaork State Association for Retarded Children Inc - Nassau County Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1013067388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 DOGWOOD CIR",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251248",
            "telephone_number": "203-517-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 DOGWOOD CIR",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251248",
            "telephone_number": "203-517-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBLATT",
        "first_name": "STEVEN",
        "middle_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD-056667L",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "165618",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "051741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, CT

Sources for this page

Verify at the official NPI Registry.