Teal Dragon Healing, LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

TEAL DRAGON HEALING, LLC

Practice address

1177 High Ridge Rd Ste 119
Stamford, CT 06905-1221

Phone

(831) 272-2676

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Adena Blickstein, MDNPI 1619324092

Title

Ceo

Phone

(917) 613-0886

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adena Blickstein, MD

  • Child & Adolescent Psychiatry Physician
  • Westport, CT
  • NPI 1619324092
  NPD Authorized official

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1306688593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 HIGH RIDGE RD STE 119",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051221",
            "telephone_number": "831-272-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 HIGH RIDGE RD STE 119",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051221",
            "telephone_number": "831-272-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAL DRAGON HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "BLICKSTEIN",
        "authorized_official_first_name": "ADENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-613-0886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Tawfik, DPT
• Jasmine Taylor-Calderon, COTA, CLT
• Marthalee Taylor, LMFT
• Tracey Adler Taylor, MSW
• Willeatha M Taylor, M.D.
• Caitlin Tedeschi
• Deanna Tedesco, RDH
• Jennifer Lynn Teichman, AGACNP-BC
• Thalita Teixeira
• Teleheal LLC

• Child & Adolescent Psychiatry Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Child & Adolescent Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.