NPIMap

Organization Active NPI

Atlantic Health Services PC

  • Psychiatry Physician
  • New Haven, CT
National Provider Identifier
1487649463
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ATLANTIC HEALTH SERVICES PC
Practice address
400 Prospect St
New Haven, CT 06511-2181
Phone
(203) 776-6100
Fax
(203) 773-8198
NPI assigned
Sep 15, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffry Klugman, MDNPI 1225023203
Title
Medical Director
Phone
(203) 776-6100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

400 Prospect St
New Haven, CT 06511-2181

Mailing address

1890 Dixwell Ave
Suite 207
Hamden, CT 06514-3122
Phone (203) 407-6444

National Provider Directory

National Provider Directory

Locations

1890 Dixwell Ave
Ste 207
Hamden, CT 06514
Phone (203) 407-6444

400 Prospect St
New Haven, CT 06511
Phone (203) 776-6100

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487649463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 DIXWELL AVE",
            "address_2": "SUITE 207",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143122",
            "telephone_number": "203-407-6444",
            "fax_number": "203-407-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PROSPECT ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112181",
            "telephone_number": "203-776-6100",
            "fax_number": "203-773-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC HEALTH SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLUGMAN",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-776-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.