Icon Health Corp

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ICON HEALTH CORP

Doing business as

Iconn Health

Practice address

1 Kennedy Ave Unit 2136
Danbury, CT 06810-5995

Phone

(813) 482-1239

NPI assigned

Nov 23, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Amir Ghaeenzadeh

Title

Corporate Counsel

Phone

(813) 482-1239

Specialties & licenses 6

Addresses

Other names 1

• Iconn Health Doing business as

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

{
    "created_epoch": "1542931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542931200000",
    "number": "1427527266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KENNEDY AVE UNIT 2136",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KENNEDY AVE UNIT 2136",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105995",
            "telephone_number": "813-482-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICON HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-23",
        "last_updated": "2018-11-23",
        "status": "A",
        "authorized_official_last_name": "GHAEENZADEH",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "CORPORATE COUNSEL",
        "authorized_official_telephone_number": "813-482-1239",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iconn Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hvra of New Milford, LLC
• Shauntel Hylton, LMSW
• Nicole Hyman, LMSW
• George Iannini, M.D.
• Anthony Ianzano
• Reedada S Idriss, MD
• Huda Ijaz, M.D.
• Sheikh M Ilyas, D.D.S
• Karli Elizabeth Imperato
• Cristina Imperio, C.R.N.A.

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

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