Individual provider Active NPI

Pramila Nathan, M.D.

  • Child & Adolescent Psychiatry Physician
  • Milford, CT
National Provider Identifier
1366441933
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
022757 Issued in CT
Practice address
204 Cherry St
Psychotherapy Center for Children Adults and Families
Milford, CT 06460-3555
Phone
(203) 876-0545
Fax
(203) 876-0814
NPI assigned
Jul 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 022757 CT
Psychiatry Physician 2084P0800X 022757 CT
Child & Adolescent Psychiatry Physician 2084P0804X 022757 CT Primary

Addresses

Primary practice location

204 Cherry St
Psychotherapy Center for Children Adults and Families
Milford, CT 06460-3555

Mailing address

204 Cherry St
Psychotherapy Center for Children Adults and Families
Milford, CT 06460-3502
Phone (203) 876-0545

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
I20071019000024 CT Practitioner - Psychiatry 2769435114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clifford W Beers Guidance Clinic IncGroup PAC ID 1951771054, 14 clinicians

Practice addresses (Care Compare)

93 Edwards St
New Haven, CT 06511-3933
Phone (203) 772-1270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022757CTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University Psychiatry Current Accepting new patients
Yale University CurrentSince Feb 3, 2022 Accepting new patients
Clifford W. Beers Guidance Clinic Inc Child & Adolescent Psychiatry CurrentSince Jul 27, 2022 Accepting new patients
Yale University CurrentSince Feb 3, 2022 Accepting new patients
Shoreline Neuropsychiatric Services, LLC PastSince Aug 1, 2021 Accepting new patients
Psychotherapy Center for Children Adults and Families Mental Health Past Accepting new patients

Locations

41 Marne St
Hamden, CT 06514
Phone (203) 691-9383

95 Circular Ave
Hamden, CT 06514
Phone (203) 288-6253

93 Edwards St
New Haven, CT 06511
Phone (203) 772-1270

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1366441933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CHERRY ST",
            "address_2": "PSYCHOTHERAPY CENTER FOR CHILDREN ADULTS AND FAMILIES",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603502",
            "telephone_number": "203-876-0545",
            "fax_number": "203-876-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CHERRY ST",
            "address_2": "PSYCHOTHERAPY CENTER FOR CHILDREN ADULTS AND FAMILIES",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603555",
            "telephone_number": "203-876-0545",
            "fax_number": "203-876-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "PRAMILA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "022757",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "022757",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CT",
            "license": "022757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.