MD Care Psychiatric Services LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

048477 Issued in CT

Legal business name

MD CARE PSYCHIATRIC SERVICES LLC

Practice address

45 S Main St Ste 211
West Hartford, CT 06107-2402

Phone

(860) 478-4341

Fax

(860) 243-3930

NPI assigned

Mar 26, 2012

Organization subpart

No

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

Authorized official

Name

Ayesha Ahmed, M.D.NPI 1487684742

Title

Manager

Phone

(860) 655-1488

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Ayesha Ahmed, MD

  • Psychiatry Physician
  • West Hartford, CT
  • NPI 1487684742
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1104192921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CROSSROADS PLZ",
            "address_2": "# 148",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172402",
            "telephone_number": "860-478-4341",
            "fax_number": "860-243-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S MAIN ST STE 211",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072402",
            "telephone_number": "860-478-4341",
            "fax_number": "860-243-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD CARE PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-655-1488",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "048477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aahmedc@hotmail.com",
            "affiliation": "N",
            "address_1": "45 S Main St Ste 211",
            "city": "West Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061072402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen McKay-Pyne
• Rebecca McKeown, MS, RD
• Jessica McKinney, OTR/L
• Andreanna M McKinzie, LPC
• Heather McSherry
• Ritu S Meda, PA-C
• Sandhya Mehla, MBBS
• Sheena Mehta, PA-C
• Daniel Melchor, LCSW
• Aaron Mele, R.D., CDN

• Psychiatry Physician in West Hartford, CT
• Providers in West Hartford, 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 11, 2022; 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.