Fairfield Psychiatry,LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

049472 Issued in CT

Legal business name

FAIRFIELD PSYCHIATRY,LLC

Practice address

60 Thorpe St FL 2
Fairfield
Fairfield, CT 06824-5725

Phone

(203) 763-4769

NPI assigned

Jun 23, 2014

Organization subpart

No

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

Authorized official

Name

Mihaela Nedelcuta, MD

Title

Owner

Phone

(203) 763-4769

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1275948887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068240090",
            "telephone_number": "203-763-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 THORPE ST FL 2",
            "address_2": "FAIRFIELD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245725",
            "telephone_number": "203-763-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD PSYCHIATRY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "NEDELCUTA",
        "authorized_official_first_name": "MIHAELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-763-4769",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "049472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.