Active NPI
Evelyn Cumberbatch, MD
- Psychiatry Physician
- New Haven, CT
National Provider Identifier
1194975375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 039777
- Practice address
- 357 Whitney Avenue
#106
New Haven, CT 06511 - Phone
- (203) 776-1130
- Fax
- (203) 287-8966
- NPI assigned
- Sep 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 039777 | CT | Primary |
| Psychiatry Physician | 2084P0800X | A66558 | CA |
Addresses
Primary practice location
357 Whitney Avenue
#106
New Haven, CT 06511
Mailing address
357 Whitney Avenue
#106
New Haven, CT 06511
Phone (203) 776-1130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A66558 | CA | MD | Psychiatry Physician |
| 039777 | CT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bhcare, Inc. | Past | Accepting new patients | |
| State of Connecticut | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/BHcare/r4/
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ansonia, CT
- NPI 1306042700
-
- Psychiatric Hospital
- New Haven, CT
- NPI 1881629434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1194975375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 WHITNEY AVENUE",
"address_2": "#106",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "203-776-1130",
"fax_number": "203-287-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 WHITNEY AVENUE",
"address_2": "#106",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "203-776-1130",
"fax_number": "203-287-8966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMBERBATCH",
"first_name": "EVELYN",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-24",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "039777",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A66558",
"primary": false
}
],
"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 Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.