Diana Harbison, MD
Individual provider Active NPI Psychiatry Physician · Centerbrook, CT
NPI 1093878423 · NPPES record last updated Jan 20, 2024
Key facts
- NPI
- 1093878423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 029198 (CT)
- Practice address
- 64 Main St
Centerbrook, CT 06409-1001 - Phone
- (860) 767-2942
- Fax
- (860) 767-2296
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 30, 2025 through Jan 30, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029198 | CT | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 029198 | CT | Yes |
Addresses
Primary practice location
64 Main St
Centerbrook, CT 06409-1001
Mailing address
PO Box 556
Essex, CT 06426-0556
Phone (860) 767-2942
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All providers in Centerbrook, CT · Psychiatry Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.