Sunshine Psychiatric Services Inc

Primary specialty

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

License

047643 Issued in CT

Legal business name

SUNSHINE PSYCHIATRIC SERVICES INC

Practice address

105 West Rd
Ellington, CT 06029-5700

Phone

(860) 871-5402

Fax

(860) 871-5413

NPI assigned

Aug 14, 2012

Last updated

Aug 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mahboob Ahmad Aslam, MD

Title

President

Phone

(203) 980-7926

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay B Benson, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Rocky Hill, CT
  • NPI 1720017056
  NPD (past)

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1386991826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WEST RD",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060295700",
            "telephone_number": "860-871-5402",
            "fax_number": "860-871-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WEST RD",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060295700",
            "telephone_number": "860-871-5402",
            "fax_number": "860-871-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PSYCHIATRIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "ASLAM",
        "authorized_official_first_name": "MAHBOOB",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-980-7926",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "047643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nashe Smith, CCC-SLP
• Loree Soloway, RPH
• Lorinda B Spivey, LCSW
• Matthew G Steele, APRN, CRNA
• Melissa A Sullivan, RD, CD-N
• Lisa Tedesco, LADC
• The Bullock Company, Inc.
• The Growing Tree Institute LLC
• Robin N Tripp, OTR/L
• Urgent Care Medical Center LLC (Priority Urgent Care)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ellington, CT
• Providers in Ellington, 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 14, 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.

Verify at the official NPI Registry.