Individual provider Active NPI

Samuel Wilkinson, M.D.

  • Psychiatry Physician
  • New Haven, CT
National Provider Identifier
1265736169
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
53265 Issued in CT
Practice address
20 York St # T-209
Yale-New Haven Hospital
New Haven, CT 06510-3220
Phone
(203) 688-9503
Fax
(203) 688-5599
NPI assigned
Jan 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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 53265 CT Primary

Addresses

Primary practice location

20 York St # T-209
Yale-New Haven Hospital
New Haven, CT 06510-3220

Mailing address

2660 Main St 216
Bridgeport, CT 06606-5301
Phone (203) 576-6133

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
I20140930002746 CT Practitioner - Psychiatry 8729208400 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Johns Hopkins University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale New Haven HospitalGroup PAC ID 8325935018, 44 clinicians
Spectrum Psychiatric Group PCGroup PAC ID 1254328610, 11 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-2609

60 Washington Ave
Suite 304
Hamden, CT 06518-3273
Phone (203) 281-2890

Merit-based Incentive Payment System (MIPS)

Final score
92.43 of 100Reported as group
Quality
84.31
Promoting interoperability
100
Improvement activities
40
Cost
84.3

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
98.16
Promoting interoperability
100
Improvement activities
40
Cost
44.02

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53265CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University Psychiatry CurrentSince Jun 12, 2017 Accepting new patients
Spectrum Psychiatric Group PC Psychiatry CurrentSince Aug 1, 2016 Accepting new patients
Neighborhood Health, Inc. Psychiatry CurrentSince Jul 23, 2015 Accepting new patients
Yale University CurrentSince Jun 12, 2017 Accepting new patients
Yale New Haven Hospital CurrentSince Jul 1, 2017 Accepting new patients
Spectrum Psychiatric Group PC PastSince Aug 1, 2016 Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

2660 Main St
Ste 216
Bridgeport, CT 06606
Phone (203) 335-0919

60 Washington Ave
Ste 303
Hamden, CT 06518

60 Washington Ave
Ste 304
Hamden, CT 06518
Phone (203) 281-2890

184 Liberty St
New Haven, CT 06519
Phone (203) 688-9704

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

47 Long Lots Rd
Westport, CT 06880
Phone (203) 221-8801

Interoperability endpoints

  • Direct secure messaging: swilkinson41506@direct.ynhh.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1265736169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 MAIN ST 216",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065301",
            "telephone_number": "203-576-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST # T-209",
            "address_2": "YALE-NEW HAVEN HOSPITAL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-9503",
            "fax_number": "203-688-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-06",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "53265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.