Active NPI
Luis Miguel Anez, PSYD
- Psychologist
- New Haven, CT
National Provider Identifier
1306052162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 004527
- Practice address
- Connecticut Mental Health Center
34 Park St
New Haven, CT 06519 - Phone
- (203) 974-7417
- Fax
- (203) 974-7413
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 004527 | CT | Primary |
Addresses
Primary practice location
Connecticut Mental Health Center
34 Park St
New Haven, CT 06519
Mailing address
Connecticut Mental Health Center 34 Park St
Office of Care Management
New Haven, CT 06519
Phone (203) 974-7417
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110201000019 | CT | Practitioner - Clinical Psychologist | 8022297456 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Connecticut
Practice addresses (Care Compare)
34 Park St
New Haven, CT 06519-1109
Phone (860) 418-6617
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004527 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Current | Accepting new patients | |
| State of Connecticut | Current | Accepting new patients |
Locations
165 Capitol Ave
Ste 2000
Hartford, CT 06106
34 Park St
North Haven, CT 06519
Phone (203) 974-7417
Organizations & group practices 11
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.
-
- Skilled Nursing Facility
- Rocky Hill, CT
- NPI 1205951662
-
- Psychiatric Hospital
- Middletown, CT
- NPI 1245256247
-
- Adult Mental Health Clinic/Center
- Middletown, CT
- NPI 1427074426
-
- Intellectual Disabilities Intermediate Care Facility
- Southbury, CT
- NPI 1467582072
-
- Psychiatric Hospital
- Hartford, CT
- NPI 1487689022
-
- General Acute Care Hospital
- Farmington, CT
- NPI 1669466561
-
- Psychiatric Hospital
- Bridgeport, CT
- NPI 1720013360
-
- Psychiatric Hospital
- Middletown, CT
- NPI 1750459855
-
- Adult Mental Health Clinic/Center
- Waterbury, CT
- NPI 1841225489
-
- Adult Mental Health Clinic/Center
- Norwich, CT
- NPI 1902831548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306052162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CONNECTICUT MENTAL HEALTH CENTER 34 PARK ST",
"address_2": "OFFICE OF CARE MANAGEMENT",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06519",
"telephone_number": "203-974-7417",
"fax_number": "203-974-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CONNECTICUT MENTAL HEALTH CENTER",
"address_2": "34 PARK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06519",
"telephone_number": "203-974-7417",
"fax_number": "203-974-7413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANEZ",
"first_name": "LUIS",
"middle_name": "MIGUEL",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "004527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.