Neurostategies Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

001227 Issued in CT

Legal business name

NEUROSTATEGIES INC

Practice address

91 Schraffts Dr
Waterbury, CT 06705-3271

Phone

(860) 377-0641

Fax

(860) 831-1044

NPI assigned

Apr 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Tariq M Abdulaziz, PHD,MS,MS,MBA,LADC

Title

President/Director

Phone

(860) 377-0641

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1235663543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 SCHRAFFTS DR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053271",
            "telephone_number": "860-377-0641",
            "fax_number": "860-831-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 SCHRAFFTS DR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053271",
            "telephone_number": "860-377-0641",
            "fax_number": "860-831-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSTATEGIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "ABDULAZIZ",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "860-377-0641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD,MS,MS,MBA,LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "001227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABI WAIVER NPI",
            "identifier": "008066918",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Waterbury, CT
• Providers in Waterbury, CT by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.