Individual provider Active NPI

Catherine Tesluk, M.D.

  • Psychiatry Physician
  • New Haven, CT
National Provider Identifier
1154450450
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
24869 Issued in CT
Practice address
240 Bradley St
First Floor
New Haven, CT 06510-1103
Phone
(203) 562-4942
Fax
(203) 773-1271
NPI assigned
Mar 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 24869 CT Primary

Addresses

Primary practice location

240 Bradley St
First Floor
New Haven, CT 06510-1103

Mailing address

240 Bradley St
First Floor
New Haven, CT 06510-1103
Phone (203) 562-4942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 19, 2016 through Jun 19, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24869CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia M Shiller, PH.D., LLC PastSince May 2, 2011 Accepting new patients

Organizations & group practices 1

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": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1154450450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 BRADLEY ST",
            "address_2": "FIRST FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101103",
            "telephone_number": "203-562-4942",
            "fax_number": "203-773-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 BRADLEY ST",
            "address_2": "FIRST FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101103",
            "telephone_number": "203-562-4942",
            "fax_number": "203-773-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESLUK",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "24869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.