Organization Active NPI

Ljudmil Kljusev MD, LLC

  • Prescribing (Medical) Psychologist
  • Milford, CT
National Provider Identifier
1245503705
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
039302 Issued in CT
Legal business name
LJUDMIL KLJUSEV MD, LLC
Practice address
227 Naugatuck Ave
Milford, CT 06460-5540
Phone
(203) 693-3500
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Ljudmil KljusevNPI 1891869566
Title
MD
Phone
(203) 693-3500

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
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X 039302 CT Primary

Addresses

Primary practice location

227 Naugatuck Ave
Milford, CT 06460-5540

Mailing address

227 Naugatuck Ave
Milford, CT 06460-5540

National Provider Directory

National Provider Directory

Locations

227 Naugatuck Ave
Milford, CT 06460
Phone (203) 693-3500

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1245503705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 NAUGATUCK AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064605540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 NAUGATUCK AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064605540",
            "telephone_number": "203-693-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJUDMIL KLJUSEV MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "KLJUSEV",
        "authorized_official_first_name": "LJUDMIL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "203-693-3500"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "CT",
            "license": "039302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.