NPIMap

Individual provider Active NPI

Christopher Lee Yergen, M.D.

  • Psychiatry Physician
  • Middletown, CT
National Provider Identifier
1386844611
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
046951 Issued in CT
Practice address
33 Pleasant St
Middletown, CT 06457
Phone
(860) 358-8801
Fax
(860) 358-8284
NPI assigned
Jul 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X 046951 CT
Psychiatry Physician 2084P0800X 046951 CT Primary

Addresses

Primary practice location

33 Pleasant St
Middletown, CT 06457

Mailing address

33 Pleasant St
Middletown, CT 06457-3641
Phone (860) 358-8801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090423000251 CT Practitioner - Psychiatry 1456409887 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlesex HospitalGroup PAC ID 5092611731, shared by 7 NPIs, 231 clinicians

Practice addresses (Care Compare)

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-6760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046951CTMDPsychosomatic Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital Psychiatry CurrentSince May 15, 2018 Accepting new patients
Midstate Medical Center Current Accepting new patients
Middlesex Hospital CurrentSince May 15, 2018 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Feb 22, 2012 Accepting new patients
Middlesex Hospital Current Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Feb 22, 2012 Accepting new patients
Middlesex Hospital CurrentSince May 15, 2018 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Psychiatry Current Accepting new patients
Connecticut Pathology Group PC Current Accepting new patients
Midstate Medical Center CurrentSince Nov 4, 2017 Accepting new patients
Midstate Medical Center CurrentSince Nov 4, 2017 Accepting new patients
Middlesex Hospital PastSince Sep 1, 2001 Accepting new patients

Locations

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

33 Pleasant St
Middletown, CT 06457
Phone (860) 358-8801

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1386844611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PLEASANT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573641",
            "telephone_number": "860-358-8801",
            "fax_number": "860-358-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PLEASANT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-358-8801",
            "fax_number": "860-358-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERGEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "CT",
            "license": "046951",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "046951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.