Neuropsychiatry Mso LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NEUROPSYCHIATRY MSO LLC

Practice address

5 Research Dr
Shelton, CT 06484-6232

Phone

(203) 567-5264

NPI assigned

Oct 9, 2019

Last updated

Oct 9, 2019By 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

Manoj Wadhwani

Title

Authorized Official

Phone

(203) 260-7972

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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.

• Carlos Alberto Rueda, MD

  • Geriatric Psychiatry Physician
  • Port Chester, NY
  • NPI 1366490195

  CT

  Medicare reassignment

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1407498603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RESEARCH DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846232",
            "telephone_number": "203-567-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 RESEARCH DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846232",
            "telephone_number": "203-567-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHIATRY MSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "WADHWANI",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "203-260-7972"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustavo Nava, LCSW
• Tannis Olivia Neal, BCBA, LBA
• Michele Neary, LCSW
• John Negugogor, CRNA
• Margaret A. Nemetz, MSPT
• Neurosurgery, Orthopaedics & Spine Specialists, PC
• New Greenwood Behavioral Health, Inc.
• New Life Integrated Health
• Zyria Noel Newman
• Eavey Moore Newton

• Psychiatry Physician in Shelton, CT
• Providers in Shelton, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.

Verify at the official NPI Registry.