Individual provider Active NPI

Andrew Lloyd Balter, M.D.

  • Psychiatry Physician
  • New Haven, CT
National Provider Identifier
1265599583
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
018212 Issued in CT
Practice address
234 Church St
Suite 1201
New Haven, CT 06510-1804
Phone
(203) 787-5938
Fax
(203) 787-9447
NPI assigned
Jan 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 018212 CT Primary

Addresses

Primary practice location

234 Church St
Suite 1201
New Haven, CT 06510-1804

Mailing address

234 Church St
Suite 1201
New Haven, CT 06510-1804
Phone (203) 787-5938

Other identifiers 4

IdentifierTypeStateIssuer
049763OtherCTVALUE OPTIONS
79932OtherCTMHN
NHS129OtherCTOXFORD HEALTH
010018212CT01OtherCTANTHEM BLUE CROSS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070924000117 CT Practitioner - Psychiatry 5496849390 Practice locations: New Haven, CT

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albert Einstein College of Medicine of Yeshiva University, 1975
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

234 Church St
New Haven, CT 06510-1881
Phone (203) 787-5938

234 Church St
Suite 1201
New Haven, CT 06510-1804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
018212CTMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265599583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 CHURCH ST",
            "address_2": "SUITE 1201",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101804",
            "telephone_number": "203-787-5938",
            "fax_number": "203-787-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 CHURCH ST",
            "address_2": "SUITE 1201",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101804",
            "telephone_number": "203-787-5938",
            "fax_number": "203-787-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTER",
        "first_name": "ANDREW",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "018212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "049763",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "79932",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "NHS129",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "010018212CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.