Victor Tirado MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

042939 Issued in CT

Legal business name

VICTOR TIRADO MD LLC

Practice address

929 Silas Deane Hwy
2ND Floor West
Wethersfield, CT 06109-4220

Phone

(860) 372-4731

Fax

(860) 372-4730

NPI assigned

Aug 20, 2009

Organization subpart

No

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

Authorized official

Name

Victor Tirado-Montanez, MD

Title

Owner

Phone

(860) 372-4731

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor Tirado, MD

  • Psychiatry Physician
  • Wethersfield, CT
  • NPI 1609855592
  Medicare reassignment

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1063644391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 SILAS DEANE HWY",
            "address_2": "2ND FLOOR WEST",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094220",
            "telephone_number": "860-372-4731",
            "fax_number": "860-372-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 SILAS DEANE HWY",
            "address_2": "2ND FLOOR WEST",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094220",
            "telephone_number": "860-372-4731",
            "fax_number": "860-372-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR TIRADO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "TIRADO-MONTANEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-372-4731",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "042939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Vanty, P.A.
• Myrna Ivette Vargas, L.C.S.W
• Nicole Varner, LCSW
• Rajeev Verma, M.D.
• Katherine Iris Vicente
• Mary Vidallon
• Katie Vigil, APRN, FNP-C
• Kara Vignati, AGNP-BC
• Vivo Chiropractic Wethersfield, LLC
• Matthew Vumback

• Psychiatry Physician in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.