Individual provider Active NPI

Amanda M Sandrew, D.O.

  • Psychiatry Physician
  • Norwalk, CT
National Provider Identifier
1497878417
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
043313 Issued in CT
Practice address
34 Maple St
Norwalk Hospital, Dept of Psychiatry
Norwalk, CT 06850-3815
Phone
(203) 852-2292
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 043313 CT Primary

Addresses

Primary practice location

34 Maple St
Norwalk Hospital, Dept of Psychiatry
Norwalk, CT 06850-3815

Mailing address

34 Maple St
Norwalk Hospital, Dept of Psychiatry
Norwalk, CT 06850-3815
Phone (203) 852-2292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110104000914 CT Practitioner - Psychiatry 0244429488 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornell Scott Hill Health CorporationGroup PAC ID 3072418359, 261 clinicians

Practice addresses (Care Compare)

428 Columbus Ave
New Haven, CT 06519-1233
Phone (203) 503-3228

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
043313CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norwalk Hospital Association CurrentSince Sep 30, 2015 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Psychiatry CurrentSince Feb 1, 2016 Accepting new patients
Norwalk Hospital Association CurrentSince Sep 30, 2015 Accepting new patients
Danbury Hospital CurrentSince Mar 16, 2020 Accepting new patients
Cornell Scott Hill Health Corporation CurrentSince Apr 21, 2021 Accepting new patients
Danbury Hospital CurrentSince Mar 16, 2020 Accepting new patients

Locations

152 West St
Danbury, CT 06810
Phone (203) 791-5120

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

520 West Ave
Norwalk, CT 06850
Phone (203) 852-2417

Interoperability endpoints

  • Direct secure messaging: asandrew512490@direct.ynhh.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1497878417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MAPLE ST",
            "address_2": "NORWALK HOSPITAL, DEPT OF PSYCHIATRY",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503815",
            "telephone_number": "203-852-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MAPLE ST",
            "address_2": "NORWALK HOSPITAL, DEPT OF PSYCHIATRY",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503815",
            "telephone_number": "203-852-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDREW",
        "first_name": "AMANDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "043313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.