Benjamin James Anderson, MD
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Hartford, CT
NPI 1497098404 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1497098404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- 055670 (CT)
- Practice address
- 200 Retreat Ave
Hartford Hospital Psychiatry Dept
Hartford, CT 06106-3309 - Phone
- (860) 545-7493
- NPI assigned
- Mar 28, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hartford Hospital
Practice addresses (Care Compare)
80 Seymour St
Hartford, CT 06102-8000
Hospital & facility affiliations
- Hartford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.63 of 100
- Quality
- 75.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CT, NJ
- 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 |
|---|---|---|---|---|
| I20170517002647 | CT | Practitioner - Psychiatry | 7416224795 | Reassigns benefits to 3 organizations |
| I20260327002358 | NJ | Practitioner - Psychiatry | 7416224795 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055670 | CT | MD | Psychiatry Physician |
| MD043098 | DC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Children'S Specialty Group, Inc. | Current |
Accepting new patients | |
| Hartford Hospital | Psychiatry | Current |
Accepting new patients |
| Hartford Hospital | Current |
Accepting new patients | |
| Connecticut Children'S Specialty Group, Inc. | Current |
Accepting new patients |
Locations
200 Retreat Ave
Hartford, CT 06106
Phone (860) 545-7000
10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
Interoperability endpoints
- banderson32302@connecticutchildrens.direct-ci.com
- benjamin.anderson@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 055670 | CT | |
| Psychiatry Physician | 2084P0800X | MD043098 | DC | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 055670 | CT | Yes |
Addresses
Primary practice location
200 Retreat Ave
Hartford Hospital Psychiatry Dept
Hartford, CT 06106-3309
Mailing address
200 Retreat Ave
Hartford Hospital Psychiatry Dept
Hartford, CT 06106-3309
Phone (860) 545-7493
Other providers in Hartford, CT
- Stephen Marc Amrock
- Anabell Ramos-Merced, LLC
- Valentine Anaedo
- Antonia Melissa Anderson Curtis
- Teodoro Anderson-Diaz
- Elizabeth H Anderson
- Kaitlyn Smith Anderson
- Kera Anderson
- Kerryann Camay Anderson
- Kirsten Margret Anderson
All providers in Hartford, CT · Child & Adolescent 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 Jul 21, 2022. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.