Organization Active NPI

Steven M Katz, MD, LLC

  • Psychiatry Physician
  • Farmington, CT
National Provider Identifier
1144402033
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
034438 Issued in CT
Legal business name
STEVEN M KATZ, MD, LLC
Practice address
11 Melrose Dr Ste 203
Farmington, CT 06032-2291
Phone
(860) 231-2850
Fax
(869) 586-7420
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Steven M Katz, MDNPI 1679502140
Title
Owner
Phone
(860) 231-2850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 034438 CT Primary

Addresses

Primary practice location

11 Melrose Dr Ste 203
Farmington, CT 06032-2291

Mailing address

11 Melrose Dr Ste 203
Farmington, CT 06032-2291
Phone (860) 231-2850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060501000481 CT Part B Supplier - Clinic/Group Practice 8820008154 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, CT

National Provider Directory

National Provider Directory

Locations

11 Melrose Dr
Ste 203
Farmington, CT 06032
Phone (860) 231-2850

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1144402033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MELROSE DR STE 203",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322291",
            "telephone_number": "860-231-2850",
            "fax_number": "860-586-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MELROSE DR STE 203",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322291",
            "telephone_number": "860-231-2850",
            "fax_number": "869-586-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN M KATZ, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-231-2850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "034438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • 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.