The Institute for Neurodegenerative Disorders

Primary specialty

Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianTaxonomy code 2084D0003X

Legal business name

THE INSTITUTE FOR NEURODEGENERATIVE DISORDERS

Doing business as

Ind

Practice address

60 Temple St
Suite 8B
New Haven, CT 06510-2716

Phone

(203) 401-4300

Fax

(203) 401-4304

NPI assigned

Jan 4, 2010

Last updated

Jan 4, 2010By 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

Mr. Jack M Mariotti, CPA

Title

Cfo

Phone

(203) 401-4351

Specialties & licenses 2

Addresses

Other names 1

• IND Doing business as

Locations

Practitioners 3

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.

• Danna L Jennings, MD

  • Medical Specialty Clinic/Center
  • New Haven, CT
  • NPI 1952429011
  NPD (past)
• David S Russell, M.D., PH.D.

  • Neurology Physician
  • New Haven, CT
  • NPI 1548241839
  NPD (past)
• John Peter Seibyl, M.D.

  • Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
  • New Haven, CT
  • NPI 1972719011
  NPD (past)

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1396075933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 TEMPLE ST",
            "address_2": "SUITE 8B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102716",
            "telephone_number": "203-401-4300",
            "fax_number": "203-401-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 TEMPLE ST",
            "address_2": "SUITE 8B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102716",
            "telephone_number": "203-401-4300",
            "fax_number": "203-401-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INSTITUTE FOR NEURODEGENERATIVE DISORDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "MARIOTTI",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "203-401-4351",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• The Mary Wade Home, Incorporated
• The Mercy Initiative
• The Mobile Office Therapist LLC
• The Orthopaedic Group, LLC
• The Savin Center, P.C.

• Diagnostic Neuroimaging (Psychiatry & Neurology) Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Diagnostic Neuroimaging (Psychiatry & Neurology) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.