Active NPI
Peter L Mohrer, M.D.
- Psychiatry Physician
- Guilford, CT
National Provider Identifier
1205800463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 028276
- Practice address
- 5 Durham Rd B5
Guilford, CT 06437-2076 - Phone
- (203) 453-4870
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 028276 | CT | |
| Psychiatry Physician | 2084P0800X | 028276 | CT | Primary |
Addresses
Primary practice location
5 Durham Rd B5
Guilford, CT 06437-2076
Mailing address
5 Durham Rd
Suite B5
Guilford, CT 06437-2076
Phone (203) 453-4870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004114352 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081016000493 | CT | Practitioner - Psychiatry | 5092873224 | Practice locations: Guilford, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of California, San Francisco School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5 Durham Rd
B5
Guilford, CT 06437-2076
Phone (203) 453-4870
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoreline TMS LLC | Current | Accepting new patients | |
| Harvey L. Ruben,MD PC | Psychiatry | Past | Accepting new patients |
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.
-
- Neurology Physician
- Guilford, CT
- NPI 1043804842
-
- Psychiatry Physician
- Woodbridge, CT
- NPI 1184744427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1205800463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 DURHAM RD",
"address_2": "SUITE B5",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372076",
"telephone_number": "203-453-4870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 DURHAM RD B5",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372076",
"telephone_number": "203-453-4870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHRER",
"first_name": "PETER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "028276",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "028276",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004114352",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.