Glastonbury Psychiatric Care LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

GLASTONBURY PSYCHIATRIC CARE LLC

Practice address

200 Oak St
Glastonbury, CT 06033-4805

Phone

(959) 867-9880

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Jane De Asis Vargas, MDNPI 1225293749

Title

Psychiatrist

Phone

(201) 660-4384

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

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.

• Sarah Jane De Asis Vargas, MD

  • Psychiatry Physician
  • Mansfield Center, CT
  • NPI 1225293749
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1508546524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 GRANDVIEW DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333931",
            "telephone_number": "201-660-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OAK ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334805",
            "telephone_number": "959-867-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASTONBURY PSYCHIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "SARAH JANE",
        "authorized_official_middle_name": "DE ASIS",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "201-660-4384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glastonbury Osteopathic, LLC
• Glastonbury Pediatric Neuropsychology
• Glastonbury Pediatrics
• Glastonbury Physical Therapy, LLC
• Glastonbury Podiatry Group
• Glastonbury Psychological Associates, PC
• Glastonbury Public Schools
• Glastonbury Smiles, PC
• Glastonbury Surgery Center, LLC
• Glastonbury Vascular Associates PC

• Psychiatry Physician in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.