Psychiatric Care Consultants LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

036772 Issued in CT

Legal business name

PSYCHIATRIC CARE CONSULTANTS LLC

Practice address

111 Park St
Suite 1G
New Haven, CT 06511-5412

Phone

(203) 562-0223

Fax

(203) 777-4226

NPI assigned

Sep 28, 2009

Organization subpart

No

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

Authorized official

Name

Kishorchandra R Gonsai, MD

Title

President

Phone

(203) 562-0223

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1033443882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PARK ST",
            "address_2": "SUITE 1G",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115412",
            "telephone_number": "203-562-0223",
            "fax_number": "203-777-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PARK ST",
            "address_2": "SUITE 1G",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115412",
            "telephone_number": "203-562-0223",
            "fax_number": "203-777-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC CARE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "GONSAI",
        "authorized_official_first_name": "KISHORCHANDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-562-0223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "036772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Diana Prozora, M.D.
• Adnan Prsic, M.D.
• Elizabeth Horn Prsic, M.D.
• Michaela Pruchnicki, DPT, PT, CLT
• Kyle Dean Pruett, M.D.
• Psychological Services and Care, LLC
• Psychotherapy Services LLC
• Diamando Psyrri, MD
• Ptsma, Inc.
• Matthew Vincent Puccetti, MD, PHD

• Adult Mental Health Clinic/Center in New Haven, CT
• Providers in New Haven, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.