Individual provider Active NPI

Jacob Calvin Nafziger, MD

  • Psychiatry Physician
  • New Fairfield, CT
National Provider Identifier
1144316506
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
054050 Issued in CT
Practice address
36 Ball Pond Rd E
New Fairfield, CT 06812-4602
Phone
(614) 266-9392
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 279672 NY
Psychiatry Physician 2084P0800X 054050 CT Primary

Addresses

Primary practice location

36 Ball Pond Rd E
New Fairfield, CT 06812-4602

Mailing address

36 Ball Pond Rd E
New Fairfield, CT 06812-4602
Phone (614) 266-9392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160531000771 CT Practitioner - Psychiatry 8729230131 Reassigns benefits to 3 organizations
I20250311003584 NY Practitioner - Psychiatry 8729230131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
279672NYMDLicensed Practical Nurse
054050CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Nov 6, 2019 Accepting new patients
Hartford Hospital CurrentSince Mar 5, 2016 Accepting new patients
Hartford Hospital Psychiatry CurrentSince Mar 5, 2016 Accepting new patients
State of Connecticut CurrentSince Nov 6, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1144316506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BALL POND RD E",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068124602",
            "telephone_number": "614-266-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BALL POND RD E",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068124602",
            "telephone_number": "614-266-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAFZIGER",
        "first_name": "JACOB",
        "middle_name": "CALVIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "279672",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "054050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Fairfield, CT

Sources for this page

Verify at the official NPI Registry.