NPIMap

Individual provider Active NPI

Gabriel Oluseun Arimoro, MD

  • Psychiatry Physician
  • Newington, CT
National Provider Identifier
1023209442
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
045609 Issued in CT
Practice address
205 Kelsey St
Suite 104
Newington, CT 06111-5436
Phone
(860) 667-1332
NPI assigned
Aug 9, 2007
Last updated
Jun 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 045609 CT Primary
Addiction Psychiatry Physician 2084P0802X 045609 CT

Addresses

Primary practice location

205 Kelsey St
Suite 104
Newington, CT 06111-5436

Mailing address

93 Rockledge Dr
Newington, CT 06111-5152
Phone (203) 887-5950

Other identifiers 1

IdentifierTypeStateIssuer
AVRS 008004031MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071207000806 CT Practitioner - Psychiatry 9032208418 Reassigns benefits to 4 organizations
I20180321002206 MA Practitioner - Psychiatry 9032208418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

2800 Main St
Bridgeport, CT 06606-4201
Phone (475) 210-5242

45 Lower Westfield Rd
Holyoke, MA 01040-2747
Phone (844) 727-9794

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
045609CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Neighborhood Health, Inc. Psychiatry CurrentSince Apr 1, 2016 Accepting new patients
The Griffin Hospital Psychiatry CurrentSince Aug 7, 2015 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 1, 2020 Accepting new patients
Lifepoint Behavioral Health Physician Services LLC Psychiatry CurrentSince Jul 18, 2023 Accepting new patients
Lifepoint Behavioral Health Physician Services LLC CurrentSince Jul 18, 2023 Accepting new patients
Newington Behavioral Health Past Accepting new patients
Springfield Park View Hospital, LLC Past Accepting new patients
CPS, LLC (Consultant Psychiatric Services) Past Accepting new patients
Western Massachusetts Behavioral Hospital LLC Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

130 Division St
Derby, CT 06418
Phone (203) 732-1330

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

47 Long Lots Rd
Westport, CT 06880
Phone (203) 221-8801

45 Lower Westfield Rd
Holyoke, MA 01040
Phone (413) 315-4100

Interoperability endpoints

  • Direct secure messaging: gabrielo.arimoro@xdr.hhchealthdirect.org

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1023209442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 ROCKLEDGE DR",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061115152",
            "telephone_number": "203-887-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 KELSEY ST",
            "address_2": "SUITE 104",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061115436",
            "telephone_number": "860-667-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIMORO",
        "first_name": "GABRIEL",
        "middle_name": "OLUSEUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "045609",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CT",
            "license": "045609",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AVRS 008004031",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

Verify at the official NPI Registry.