Organization Active NPI

Connecticut Geriatric Neuropsychiatry, LLC

  • Geriatric Psychiatry Physician
  • Simsbury, CT
National Provider Identifier
1407375363
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
CONNECTICUT GERIATRIC NEUROPSYCHIATRY, LLC
Practice address
558 Hopmeadow St
Simsbury, CT 06070-2415
Phone
(860) 371-0064
NPI assigned
Sep 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Maryanne Strindberg, APRN
Title
Cowner
Phone
(860) 990-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0805X Primary

Addresses

Primary practice location

558 Hopmeadow St
Simsbury, CT 06070-2415

Mailing address

542 Hopmeadow St PMB 138
Simsbury, CT 06070-5405

National Provider Directory

National Provider Directory

Locations

507 Hopmeadow St
Simsbury, CT 06070
Phone (860) 658-0446

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1407375363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 HOPMEADOW ST PMB 138",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060705405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 HOPMEADOW ST",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702415",
            "telephone_number": "860-371-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT GERIATRIC NEUROPSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "STRINDBERG",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_title_or_position": "COWNER",
        "authorized_official_telephone_number": "860-990-4673",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simsbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.