Sunrise Med LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SUNRISE MED LLC

Practice address

130 Division Street
Derby, CT 06418

Phone

(203) 872-2131

NPI assigned

Aug 3, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Diana Kurlyandchik, MDNPI 1396065108

Title

Psychiatrist

Phone

(917) 603-0509

Specialties & licenses 1

Addresses

Practitioners 1

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

• Diana Kurlyandchik, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1396065108
  NPD Authorized official

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1316629892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOSTON POST RD # 1015",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752142",
            "telephone_number": "203-872-2131",
            "fax_number": "207-419-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DIVISION STREET",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "06418",
            "telephone_number": "203-872-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "KURLYANDCHIK",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "917-603-0509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Stroumbakis, PA-C
• Deepak Jung Subedi, M.D.
• Sirjana Subedi, M.D.
• Thanathip Suenghataiphorn, M.D.
• Debra Sullivan, PA
• Alecia Antoinette Swaby Grier
• Mark Taafel, PA
• Laura Tarini, RPH
• Jennifer Taylor, M.D.
• Team Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Derby, CT
• Providers in Derby, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.