Organization Active NPI

Christian M. Flynn, M.D. LLC

  • Specialist
  • Tolland, CT
National Provider Identifier
1396780920
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
041654 Issued in CT
Legal business name
CHRISTIAN M. FLYNN, M.D. LLC
Practice address
384 Merrow Rd
Suite Q
Tolland, CT 06084-3957
Phone
(860) 872-2323
Fax
(860) 875-1688
NPI assigned
Jun 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christian M Flynn, M.D.
Title
President, Psychiatrist
Phone
(860) 872-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 041654 CT Primary

Addresses

Primary practice location

384 Merrow Rd
Suite Q
Tolland, CT 06084-3957

Mailing address

384 Merrow Rd
Suite Q
Tolland, CT 06084-3957
Phone (860) 872-2323

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396780920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 MERROW RD",
            "address_2": "SUITE Q",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843957",
            "telephone_number": "860-872-2323",
            "fax_number": "860-875-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 MERROW RD",
            "address_2": "SUITE Q",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843957",
            "telephone_number": "860-872-2323",
            "fax_number": "860-875-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN M. FLYNN, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT, PSYCHIATRIST",
        "authorized_official_telephone_number": "860-872-2323",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "041654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tolland, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.