Active NPI
Dr Ovanessian Treatment Center LLC
- Addiction Psychiatry Physician
- Newtown, CT
National Provider Identifier
1164749057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- 042079
- Legal business name
- DR OVANESSIAN TREATMENT CENTER LLC
- Practice address
- 20 Church Hill Rd
Newtown, CT 06470-1657 - Phone
- (203) 304-9599
- NPI assigned
- May 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Simon Ovanessain, M.D.
- Title
- Physician/Surgeon
- Phone
- (845) 548-6073
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | 042079 | CT | Primary |
| Preferred Provider Organization | 305R00000X | 042079 | CT |
Addresses
Primary practice location
20 Church Hill Rd
Newtown, CT 06470-1657
Mailing address
20 Church Hill Rd
Newtown, CT 06470-1657
Phone (203) 304-9559
National Provider Directory
National Provider DirectoryLocations
20 Church Hill Rd
Newtown, CT 06470
Phone (203) 270-0080
25 Church Hill Rd
Newtown, CT 06470
Phone (203) 270-1122
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Danbury, CT
- NPI 1326111931
-
- Psychiatry Physician
- Westborough, MA
- NPI 1376585091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365033600000",
"number": "1164749057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CHURCH HILL RD",
"city": "NEWTOWN",
"state": "CT",
"postal_code": "064701657",
"telephone_number": "203-304-9559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CHURCH HILL RD",
"city": "NEWTOWN",
"state": "CT",
"postal_code": "064701657",
"telephone_number": "203-304-9599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR OVANESSIAN TREATMENT CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-01",
"last_updated": "2013-04-04",
"status": "A",
"authorized_official_last_name": "OVANESSAIN",
"authorized_official_first_name": "SIMON",
"authorized_official_title_or_position": "PHYSICIAN/SURGEON",
"authorized_official_telephone_number": "845-548-6073",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "CT",
"license": "042079",
"primary": true
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "CT",
"license": "042079",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newtown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.