Active NPI
Steven Alexander Weisblatt, M.D.
- Psychiatry Physician
- Woodbridge, CT
National Provider Identifier
1013067388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 051741
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 051741 | CT | MD | Psychiatry Physician |
| 165618 | NY | MD | Psychiatry Physician |
| MD-056667L | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Plainview, NY
- NPI 1891864179
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.