Active NPI
Mark Weremchuk, MD
- Geriatric Psychiatry Physician
- Glastonbury, CT
National Provider Identifier
1487642005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 026079
- Practice address
- 210 New London Tpke
Glastonbury, CT 06033-2235 - Phone
- (860) 633-1543
- Fax
- (860) 659-9755
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 026079 | CT | Primary |
Addresses
Primary practice location
210 New London Tpke
Glastonbury, CT 06033-2235
Mailing address
210 New London Tpke
Glastonbury, CT 06033-2235
Phone (860) 633-1543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Past | Accepting new patients | |
| Dermatology Associates of Glastonbury LLC | Past | Accepting new patients | |
| University of Connecticut Health Center | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Glastonbury, CT
- NPI 1730175845
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
-
- General Practice Physician
- Farmington, CT
- NPI 1720083769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487642005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 NEW LONDON TPKE",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332235",
"telephone_number": "860-633-1543",
"fax_number": "860-659-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 NEW LONDON TPKE",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332235",
"telephone_number": "860-633-1543",
"fax_number": "860-659-9755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEREMCHUK",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "CT",
"license": "026079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.