Active NPI
My Catholic Doctor, P.L.L.C.
- Pediatrics Physician
- New Canaan, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MY CATHOLIC DOCTOR, P.L.L.C.
- Practice address
- 711 Silvermine Rd
New Canaan, CT 06840-4329 - Phone
- (314) 435-6105
- NPI assigned
- Feb 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathleen Mary Berchelmann, MD
- Title
- Ceo
- Phone
- (314) 435-6105
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
711 Silvermine Rd
New Canaan, CT 06840-4329
Mailing address
711 Silvermine Rd
New Canaan, CT 06840-4329
Phone (314) 435-6105
Other practice location 1
373 S Willow St
Manchester, NH 03103-5751
Phone (203) 590-9360
Other practice location 2
606 Laurel Oaks Dr
Loveland, OH 45140-6949
Phone (314) 888-5233
Other names 1
- MyCatholicDoctor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, CT, NH, MI, KS, CO, LA, TX, OR, NV, SD, AZ, GA, VA, NC, TN, KY, VT, WI, ID, IL, FL, MD, NE, DC
Enrollment records 25
National Provider Directory
National Provider DirectoryLocations (25 of 35)
8326 N 7th St
Phoenix, AZ 85020
Phone 31488852331050
8705 N Central Ave
Phoenix, AZ 85020
15720 Ventura Blvd
Ste 311
Encino, CA 91436
Phone (818) 906-3933
15720 Ventura Blvd
Encino, CA 91436
Phone (818) 907-1145
155 Boardwalk Dr
#406
Fort Collins, CO 80525
155 Boardwalk Dr
#26
Fort Collins, CO 80525
576 Farmington Ave
#2W
Hartford, CT 06105
1180 Newfield Ave
Stamford, CT 06905
Phone 3148885233 ext. 1062
4602 CR 673
#12533
Bushnell, FL 33513
3355 W Bearss Ave
Tampa, FL 33618
Phone (813) 443-4549
3760 Sixes Rd
Ste 126224
Canton, GA 30114
440 Prime Pt
Peachtree Cty, GA 30269
Phone (770) 486-7470
199 Easy St
Carol Stream, IL 60188
2 W Talcott Rd
Ste 1
Park Ridge, IL 60068
Phone (847) 774-7609
101 Wind Haven Dr
Ste 104
Nicholasville, KY 40356
Phone (859) 536-2015
155 Hospital Dr
Ste 302
Lafayette, LA 70503
Phone (337) 261-5433
62 Saunders Ave
Andover, MA 05501
18080 Mack Ave
Grosse Pointe, MI 48230
Phone (313) 499-8368
2722 E Michigan Ave
Ste 209
Lansing, MI 48912
Phone 31488852332020
777 S New Ballas Rd
Ste 231E
Saint Louis, MO 63141
Phone (314) 698-2500
101 W Argonne Dr
Saint Louis, MO 63122
Phone (314) 287-5344
1123 S Church St
Charlotte, NC 28203
Phone (704) 370-3227
208 7th Ave W
Hendersonville, NC 28791
373 S Willow St
#110
Manchester, NH 03103
373 S Willow St
Ste 110D11
Manchester, NH 03103
Practitioners & affiliated clinicians
Practitioners 127
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651536000000",
"number": "1396201307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 SILVERMINE RD",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068404329",
"telephone_number": "314-435-6105",
"fax_number": "203-590-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 SILVERMINE RD",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068404329",
"telephone_number": "314-435-6105"
}
],
"practiceLocations": [
{
"address_1": "373 S Willow St",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031035751",
"country_code": "US",
"telephone_number": "203-590-9360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "606 Laurel Oaks Dr",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "OH",
"postal_code": "451406949",
"country_code": "US",
"telephone_number": "314-888-5233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MY CATHOLIC DOCTOR, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-14",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A",
"authorized_official_last_name": "BERCHELMANN",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "314-435-6105",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MyCatholicDoctor",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MyCatholicDoctor",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in New Canaan, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.