Individual provider Active NPI

Vania Modesto Lowe, M.D.

  • Psychiatry Physician
  • Middletown, CT
National Provider Identifier
1316006638
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
033919 Issued in CT
Practice address
Connecticut Valley Hospital
Silver Street
Middletown, CT 06457
Phone
(860) 262-5867
Fax
(860) 262-5850
NPI assigned
Dec 6, 2006
Last updated
Feb 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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 033919 CT Primary

Addresses

Primary practice location

Connecticut Valley Hospital
Silver Street
Middletown, CT 06457

Mailing address

Connecticut Valley Hospital
1000 Silver Street - P.O. Box 351 - 2ND FL
Middletown, CT 06457-7023
Phone (860) 262-5868

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
I20040617001020 CT Practitioner - PsychiatryPractitioner - Addiction Medicine 1254315013 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033919CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Jul 20, 2017 Accepting new patients
Hartford Community Mental Health Center Inc. CurrentSince Jan 3, 2023 Accepting new patients

Locations

2550 Main St
Hartford, CT 06120
Phone (860) 548-0101

2550 Main St
Fl 3
Hartford, CT 06120
Phone (860) 548-0101

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

Organizations & group practices 2

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1316006638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONNECTICUT VALLEY HOSPITAL",
            "address_2": "1000 SILVER STREET - P.O. BOX 351 - 2ND FL",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064577023",
            "telephone_number": "860-262-5868",
            "fax_number": "860-262-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONNECTICUT VALLEY HOSPITAL",
            "address_2": "SILVER STREET",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-262-5867",
            "fax_number": "860-262-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODESTO LOWE",
        "first_name": "VANIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "033919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.