Douglas Mitchell Brandt, M.D.
Individual provider Active NPI Psychiatry Physician · Old Saybrook, CT
NPI 1487742243 · NPPES record last updated Mar 26, 2025
Key facts
- NPI
- 1487742243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 025691 (CT)
- Practice address
- 20 Research Pkwy
Old Saybrook, CT 06475-4214 - Phone
- (800) 370-3651
- Fax
- (860) 510-0020
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250210000950 | NC | Practitioner - Psychiatry | 5597845610 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17778 | SC | MD | Clinical Social Worker |
| 025891 | CT | MD | Clinical Genetics (M.D.) Physician |
| MD13289 | RI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Western Carolina Physician Practices LLC | Current |
Accepting new patients | |
| DLP Western Carolina Physician Practices LLC | Current |
Accepting new patients | |
| Medoptions Behavioral Health Assoc, LLC | Psychiatry | Past | Accepting new patients |
| Associated Specialists of Southeastern Connecticut, Inc. | Psychiatry | Past |
Accepting new patients |
Locations
262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210
98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 17778 | SC | |
| Psychiatry Physician | 2084P0800X | MD13289 | RI | |
| Psychiatry Physician | 2084P0800X | 025691 | CT | Yes |
Addresses
Primary practice location
20 Research Pkwy
Old Saybrook, CT 06475-4214
Mailing address
20 Research Parkway
Old Saybrook, CT 06475-4214
Phone (800) 370-3651
Other practice location 1
220 N Main St Ste 500
Greenville, SC 29601-2129
Phone (888) 515-3834
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1256917CL | Other | CLINIC NUMBER | |
| 4014679 | Medicaid | CT | |
| 4024972 | Medicaid | CT |
Other providers in Old Saybrook, CT
- Maggie Black
- Judith F. Bloom
- Alyssa Bogan
- David Bonanno
- Catherine M Botticelli
- Jeanne Demars Breen
- Brittany Sanchez, LPC
- Jane Brockway
- Salvatore Bruzzese
- Andrew Buccaro
All providers in Old Saybrook, CT · Psychiatry Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.