NPIMap

Organization Active NPI

Generations Psychiatry Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Branford, CT
National Provider Identifier
1316501042
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GENERATIONS PSYCHIATRY SERVICES PLLC
Practice address
420 E Main St Ste 5
Branford, CT 06405-2941
Phone
(203) 433-2550
Fax
(949) 404-6557
NPI assigned
Apr 29, 2019
Last updated
Apr 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Ryan John Dillon, APRNNPI 1871861625
Title
Owner
Phone
(203) 215-7344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

420 E Main St Ste 5
Branford, CT 06405-2941

Mailing address

420 E Main St Ste 5
Branford, CT 06405-2941
Phone (203) 433-2550

Other identifiers 1

IdentifierTypeStateIssuer
1871861625OtherCTNPPES NPI REGISTRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190924002358 CT Part B Supplier - Clinic/Group Practice 6901136555 Receives reassigned benefits from 5 practitioners
Practice locations: Branford, CT

National Provider Directory

National Provider Directory

Locations

420 E Main St
Ste 5
Branford, CT 06405
Phone (203) 433-2550

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1316501042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E MAIN ST STE 5",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052941",
            "telephone_number": "203-433-2550",
            "fax_number": "949-404-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E MAIN ST STE 5",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052941",
            "telephone_number": "203-433-2550",
            "fax_number": "949-404-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS PSYCHIATRY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-215-7344",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES NPI REGISTRY",
            "identifier": "1871861625",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.