Organization Active NPI

JPDW Inc.

  • Psychiatry Physician
  • Clinton, CT
National Provider Identifier
1114365376
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
050027 Issued in CT
Legal business name
JPDW INC.
Practice address
11 Post Office SQ
Clinton, CT 06413-2025
Phone
(800) 480-4240
Fax
(800) 483-6480
NPI assigned
Jun 10, 2013
Last updated
Aug 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Dr. Joseph Perry, M.D.NPI 1134354244
Title
Psychiatrist
Phone
(203) 745-9773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 050027 CT Primary

Addresses

Primary practice location

11 Post Office SQ
Clinton, CT 06413-2025

Mailing address

11 Post Office SQ
Clinton, CT 06413-2025
Phone (800) 480-4240

National Provider Directory

National Provider Directory

Locations

11 Post Office Sq
Clinton, CT 06413
Phone (203) 430-3785

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1114365376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 POST OFFICE SQ",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132025",
            "telephone_number": "800-480-4240",
            "fax_number": "800-483-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 POST OFFICE SQ",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132025",
            "telephone_number": "800-480-4240",
            "fax_number": "800-483-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPDW INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "203-745-9773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "050027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.