Organization Active NPI

Kamman Psychiatric LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1194202838
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KAMMAN PSYCHIATRIC LLC
Practice address
79 Trumbull St Ste C9
New Haven, CT 06511-3708
Phone
(860) 858-1508
Fax
(203) 533-7395
NPI assigned
Jul 25, 2018
Last updated
Jul 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Devorah Kamman, APRNNPI 1164959326
Title
Owner
Phone
(860) 858-1508

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

79 Trumbull St Ste C9
New Haven, CT 06511-3708

Mailing address

79 Trumbull St Ste C9
New Haven, CT 06511-3708
Phone (860) 858-1508

National Provider Directory

National Provider Directory

Locations

79 Trumbull St
Ste C9
New Haven, CT 06511
Phone (203) 528-0526

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1194202838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 TRUMBULL ST STE C9",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113708",
            "telephone_number": "860-858-1508",
            "fax_number": "203-533-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 TRUMBULL ST STE C9",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113708",
            "telephone_number": "860-858-1508",
            "fax_number": "203-533-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMMAN PSYCHIATRIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "KAMMAN",
        "authorized_official_first_name": "DEVORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-858-1508",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.