Individual provider Active NPI

Robert Guerrera, M.D.

  • Psychiatry Physician
  • Wilton, CT
National Provider Identifier
1033232228
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
042713 Issued in CT
Practice address
27 Danbury Rd
Wilton, CT 06897-4405
Phone
(203) 210-7820
Fax
(203) 529-3385
NPI assigned
Apr 10, 2007
Last updated
Nov 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 042713 CT Primary

Addresses

Primary practice location

27 Danbury Rd
Wilton, CT 06897-4405

Mailing address

27 Danbury Rd
Wilton, CT 06897-4405
Phone (203) 210-7820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026000216 CT Practitioner - Psychiatry 4789645458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connecticut Renaissance, Inc.Group PAC ID 0941253728, 5 clinicians

Practice addresses (Care Compare)

4 Byington PL
Norwalk, CT 06850-3309
Phone (203) 866-2541

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Renaissance, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Connecticut Renaissance, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Connecticut Renaissance, Inc Past Accepting new patients

Locations

1126 Main St
Bridgeport, CT 06604
Phone (203) 331-1503

4 Byington Pl
Norwalk, CT 06850
Phone (203) 866-2541

1 Waterview Dr
Ste 202
Shelton, CT 06484
Phone (203) 336-5225

525 Wolcott St
Waterbury, CT 06705
Phone (203) 568-6190

Organizations & group practices 4

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1033232228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974405",
            "telephone_number": "203-210-7820",
            "fax_number": "203-529-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974405",
            "telephone_number": "203-210-7820",
            "fax_number": "203-529-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERA",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "042713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

Verify at the official NPI Registry.