Tariq M Abdulaziz, PH.D., LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1227 Issued in CT

Practice address

91 Schraffts Dr
Waterbury, CT 06705-3271

Phone

(860) 377-0641

Fax

(860) 831-1044

NPI assigned

Jan 10, 2017

Last updated

Mar 13, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

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.

• Neurostategies Inc

  • Community/Behavioral Health Agency
  • Waterbury, CT
  • NPI 1235663543
  Authorized official Same address or phone

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1386180768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 907",
            "city": "EAST WINDSOR",
            "state": "CT",
            "postal_code": "060880907",
            "telephone_number": "860-377-0641",
            "fax_number": "860-831-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 SCHRAFFTS DR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053271",
            "telephone_number": "860-377-0641",
            "fax_number": "860-831-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULAZIZ",
        "first_name": "TARIQ",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D., LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbott Terrace Health Center
• Abbott Terrace Health Center
• Abc-CT,LLC
• Shalima Abdalla
• Waheedah Abdul-Lateef, COUNSELOR AIDE-CHILD
• Abdulmasih Zarif, MD, LLC
• Anwar Esam Abdulrehman, APRN
• Bianca Abel, OT
• Renata Ventura Abiali
• Lejla Abidovic, LMFTA

• Addiction (Substance Use Disorder) Counselor in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.