Pavle Joksovic, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

048935 Issued in CT

Practice address

117B River St
Milford, CT 06460

Phone

(203) 283-3515

Fax

(203) 518-8008

NPI assigned

Jun 4, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bona Vita Wellness and Psychiatric CenterGroup PAC ID 9133449796, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Bona Vita Wellness and Psychiatric Center

  • Psychiatry Physician
  • Milford, CT
  • NPI 1245631126
  Medicare reassignment Care Compare group Authorized official
• Connecticut Mental Health Specialists Inc

  • Psychiatry Physician
  • Farmington, CT
  • NPI 1053362814
  Medicare reassignment

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1285893313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117B RIVER ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603315",
            "telephone_number": "203-283-3515",
            "fax_number": "203-518-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117B RIVER ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-283-3515",
            "fax_number": "203-518-8008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117B River St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "06460",
            "country_code": "US",
            "telephone_number": "203-283-3515",
            "fax_number": "203-518-8008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOKSOVIC",
        "first_name": "PAVLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "048935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285893313",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faythe Johnson
• Karen Johnson, LCSW
• Michael Johnson
• Molly Clifford Johnson, MS, CCC-SLP
• Robert Emerson Lamb Johnson III, LMFT
• Sanja Joksovic, LMFT
• Lisa Jones, CRNA
• Mishon Jones, LDN
• Marie Carolle Joseph
• Sharon Joslin, A.P.R.N.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.