Active NPI
Podolski Psychiatry PLLC
- Adult Mental Health Clinic/Center
- West Hartford, CT
National Provider Identifier
1447849260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- PODOLSKI PSYCHIATRY PLLC
- Practice address
- 433 S Main St Ste 327
West Hartford, CT 06110-2816 - Phone
- (860) 410-4007
- Fax
- (860) 955-4804
- NPI assigned
- Jan 15, 2021
- 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. Mariela Podolski, MD
- Title
- Psychiatrist
- Phone
- (860) 410-4007
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
433 S Main St Ste 327
West Hartford, CT 06110-2816
Mailing address
44 Fieldstone Dr
South Glastonbury, CT 06073-3718
Phone (860) 707-4880
National Provider Directory
National Provider DirectoryLocations
433 S Main St
Ste 327
West Hartford, CT 06110
Phone (860) 410-4007
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- West Hartford, CT
- NPI 1023201589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610668800000",
"number": "1447849260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 FIELDSTONE DR",
"city": "SOUTH GLASTONBURY",
"state": "CT",
"postal_code": "060733718",
"telephone_number": "860-707-4880",
"fax_number": "860-955-4804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 S MAIN ST STE 327",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061102816",
"telephone_number": "860-410-4007",
"fax_number": "860-955-4804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODOLSKI PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-15",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A",
"authorized_official_last_name": "PODOLSKI",
"authorized_official_first_name": "MARIELA",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "860-410-4007",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.