Resilient Raza Psychiatry PLLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

RESILIENT RAZA PSYCHIATRY PLLC

Practice address

900 Straits Turnpike, Suite D
Middlebury, CT 06762-2865

Phone

(860) 919-6146

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Mahreen Raza, MDNPI 1154638815

Title

Sole Member

Phone

(732) 582-9308

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahreen Raza, MD

  • Psychiatry Physician
  • Hartford, CT
  • NPI 1154638815
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1215646872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WEST MAIN STREET, SUITE 2, # 138",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-919-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STRAITS TURNPIKE, SUITE D",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622865",
            "telephone_number": "860-919-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT RAZA PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "MAHREEN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "732-582-9308",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sina Raissi, MD
• Pauline Ramli
• Fuka Reale
• Regional School District 15
• Mariel Reid, APRN
• Mira Rho, MD
• Richard N. Smith, DDS, PC
• Joshua Thomas Rickards, PA-C
• Gregory Michael Ricketts
• Caroline Jane Ricupero, DPT

• Child & Adolescent Psychiatry Physician in Middlebury, CT
• Providers in Middlebury, CT by specialty
• Child & Adolescent Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.