Active NPI
Stanley Gerald Possick, MD
- Psychiatry Physician
- New Haven, CT
National Provider Identifier
1366478315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 017104
- Practice address
- 303 Whitney Ave
New Haven, CT 06511-7204 - Phone
- (203) 782-1511
- Fax
- (203) 389-0814
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 017104 | CT | |
| Psychiatry Physician | 2084P0800X | 017104 | CT | Primary |
Addresses
Primary practice location
303 Whitney Ave
New Haven, CT 06511-7204
Mailing address
303 Whitney Ave
New Haven, CT 06511-7204
Phone (203) 782-1511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017104 | CT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1366478315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 WHITNEY AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065117204",
"telephone_number": "203-782-1511",
"fax_number": "203-389-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 WHITNEY AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065117204",
"telephone_number": "203-782-1511",
"fax_number": "203-389-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POSSICK",
"first_name": "STANLEY",
"middle_name": "GERALD",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "017104",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "017104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.