Lowell H Kallen, M.D.
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Danielson, CT
NPI 1528053949 · NPPES record last updated Jan 6, 2025
Key facts
- NPI
- 1528053949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- 29573 (CT)
- Practice address
- 245 Main St
Danielson, CT 06239-2816 - Phone
- (888) 316-5221
- Fax
- (866) 203-2138
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Johns Hopkins University School of Medicine, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regeneration Therapy and Counseling LLC
Practice addresses (Care Compare)
245 Main St
Danielson, CT 06239-2816
Phone (888) 316-5221
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- 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 |
|---|---|---|---|---|
| I20150427001946 | CT | Practitioner - Psychiatry | 5193799682 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029573 | CT | MD | Psychiatry Physician |
| 29573 | CT | MD | Psychiatry Physician |
| 0101234443 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perception Programs Inc | Current |
Accepting new patients | |
| Regeneration Therapy and Counseling LLC | Current |
Accepting new patients | |
| Comprehensive Psychological Services | Psychiatry | Past |
Accepting new patients |
| Churchland Psychiatric Associates PC | Psychiatry | Past |
Accepting new patients |
| Western Tidewater Community Mental | Psychiatry | Past |
Accepting new patients |
| Riverside Physician Services Inc | Psychiatry | Past | Accepting new patients |
Locations
245 Main St
Danielson, CT 06239
Phone (401) 935-3824
842 Main St
Willimantic, CT 06226
Phone (860) 450-0151
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/perceptionprograms/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 029573 | CT | |
| Psychiatry Physician | 2084P0800X | 0101234443 | VA | |
| Psychiatry Physician | 2084P0800X | 29573 | CT | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0101234443 | VA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 29573 | CT | Yes |
Addresses
Primary practice location
245 Main St
Danielson, CT 06239-2816
Mailing address
245 Main St
Danielson, CT 06239-2816
Phone (757) 371-6772
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010087465 | Medicaid | VA | |
| 004945310 | Other | VA | VIRGINIA PREMIER |
| 142810 | Other | VA | TRIGON BCBS/HEALTHKEEPERS |
| O84586M | Other | VA | OPTIMA FAMILY CARE |
Other providers in Danielson, CT
- Pamela Johnson
- Donna Johnston
- Sheri Jones
- Joseph Alessandro
- K.W. Harrington Counseling and Consulting, LLC
- Jeanine Kelo
- Susan Kershaw-Sczuroski
- Angela S Kilbride
- Killingly Eye Care P.C.
- Lindsay Knapp
All providers in Danielson, 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 Jan 6, 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).
- 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.