Organization Active NPI

Child & Adolescent Psychiatric Care

  • Child & Adolescent Psychiatry Physician
  • Danbury, CT
National Provider Identifier
1093142010
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
CHILD & ADOLESCENT PSYCHIATRIC CARE
Practice address
57 North St
Suite 218
Danbury, CT 06810-5660
Phone
(203) 617-0790
Fax
(203) 797-0877
NPI assigned
Oct 4, 2013
Last updated
Oct 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Anton Fry, MD
Title
Owner/President
Phone
(203) 617-0790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

57 North St
Suite 218
Danbury, CT 06810-5660

Mailing address

57 North St
Suite 218
Danbury, CT 06810-5660
Phone (203) 617-0790

National Provider Directory

National Provider Directory

Locations

57 North St
Ste 218
Danbury, CT 06810
Phone (203) 617-0790

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1093142010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 NORTH ST",
            "address_2": "SUITE 218",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105660",
            "telephone_number": "203-617-0790",
            "fax_number": "203-797-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 NORTH ST",
            "address_2": "SUITE 218",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105660",
            "telephone_number": "203-617-0790",
            "fax_number": "203-797-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD & ADOLESCENT PSYCHIATRIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "ANTON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "203-617-0790",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.