Seth Banever
Individual provider Active NPI Psychiatry Physician · Farmington, CT
NPI 1013302264 · NPPES record last updated May 31, 2019
Key facts
- NPI
- 1013302264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 629921 (CT)
- Practice address
- 270 Farmington Ave Ste 309
Farmington, CT 06032-1953 - Phone
- (860) 677-5570
- Fax
- (860) 677-9570
- NPI assigned
- Apr 4, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Connecticut
Practice addresses (Care Compare)
1000 Silver St
Middletown, CT 06457-3940
Phone (860) 262-5000
Merit-based Incentive Payment System (MIPS)
- Final score
- 46.78 of 100
- Quality
- 33.56
- Promoting interoperability
- 0
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190712002146 | CT | Practitioner - Psychiatry | 3971838962 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 629921 | CT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Current |
Accepting new patients | |
| Connecticut Mental Health Specialists Inc | Psychiatry | Current |
Accepting new patients |
| State of Connecticut | Current |
Accepting new patients |
Locations
270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
450 Columbus Blvd
Ste 1001
Hartford, CT 06103
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 629921 | CT | Yes |
Addresses
Primary practice location
270 Farmington Ave Ste 309
Farmington, CT 06032-1953
Mailing address
263 Farmington Ave
Uconn School of Medicine, Psychiatry, C/O Terri Carrier
Farmington, CT 06030-2103
Phone (860) 679-4733
Other practice location 1
263 Farmington Ave
UCONN School of Medicine, Psychiatry, C/O Terri Carrier
Farmington, CT 06030-2103
Phone (860) 679-4733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013302264 | Medicaid | CT |
Other providers in Farmington, CT
- Enrique Ballesteros
- James Brook Balloch
- David Barrett Banach
- Sina Banankhah
- Devon Bandouveres
- Sigita Marija Banevicius
- Sarah Banks
- Rawan Barakat
- Vanessa Selena Barbino
- Gal Barkay
All providers in Farmington, CT · Psychiatry Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.