Department of Veterans Affairs

Primary specialty

VA Clinic/CenterTaxonomy code 261QV0200X

Legal business name

DEPARTMENT OF VETERANS AFFAIRS

Practice address

200 Edison Rd
Orange, CT 06477-3602

Phone

(203) 508-7700

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

Diana M Stout

Title

Social Worker

Phone

(203) 815-0220

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mayra Isabel Guindin-Orama, MD

  • Psychiatry Physician
  • New Haven, CT
  • NPI 1285113688
  NPD

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1164145819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 CHERRY LN",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065165609",
            "telephone_number": "203-815-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EDISON RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773602",
            "telephone_number": "203-508-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "203-815-0220"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J Degennaro, DMD
• William J Degrazia, MSPT
• Renee G Delahaye, PA-C
• Jennifer Julia Denardis, PHARMD
• Dental Smiles of Orange LLC
• Weverton Depaula
• Marie-Lourdes Derisse, RN
• Rashesh Desai, PHARMD
• Nuvdeep Kaur Dhillon
• Marc Diberardino

• VA Clinic/Center in Orange, CT
• Providers in Orange, CT by specialty
• VA Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.