Organization Active NPI

Dr Ovanessian Treatment Center LLC

  • Addiction Psychiatry Physician
  • Newtown, CT
National Provider Identifier
1164749057
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
042079 Issued in CT
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

Updated by the provider on Apr 4, 2013

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)CodeLicenseStatePrimary
Addiction Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.