Spectrum Behavioral PC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

043723 Issued in CT

Legal business name

SPECTRUM BEHAVIORAL PC

Practice address

30 Buxton Farm Rd
Suite140
Stamford, CT 06905-1224

Phone

(203) 612-7512

Fax

(203) 930-3655

NPI assigned

Oct 11, 2011

Last updated

Jan 30, 2012By 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

Dr. Sunil Saxena, MDNPI 1346259637

Title

Medical Director

Phone

(203) 612-7511

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

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.

• Sunil Saxena, M.D.

  • Child & Adolescent Psychiatry Physician
  • White Plains, NY
  • NPI 1346259637

  CT

  Medicare reassignment NPD Authorized official
• Stephanie Brooke Rosenblum, PSYD

  • Psychologist
  • Stamford, CT
  • NPI 1639505845
  NPD (past)

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1457636383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BUXTON FARM RD",
            "address_2": "SUITE140",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051224",
            "telephone_number": "203-612-7512",
            "fax_number": "203-930-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BUXTON FARM RD",
            "address_2": "SUITE140",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051224",
            "telephone_number": "203-612-7512",
            "fax_number": "203-930-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM BEHAVIORAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "SAXENA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-612-7511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "CT",
            "license": "3117",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CT",
            "license": "043723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allison Spaulding, APRN, FNP-C
• Jennifer Spears, DPT
• Jennie Miriam Spiegel, FNP-C
• Arielle Spitzer
• Abigail Spor
• Abigail Sprague
• Sarah Spring, P.A.-C

• Child & Adolescent Psychiatry Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Child & Adolescent Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.