Active NPI
Lowell H Kallen, M.D.
- Child & Adolescent Psychiatry Physician
- Danielson, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 29573
- Practice address
- 245 Main St
Danielson, CT 06239-2816 - Phone
- (888) 316-5221
- Fax
- (866) 203-2138
- NPI assigned
- Sep 12, 2005
- Last updated
- Jan 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| 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 | Primary |
Addresses
Primary practice location
245 Main St
Danielson, CT 06239-2816
Mailing address
245 Main St
Danielson, CT 06239-2816
Phone (757) 371-6772
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Johns Hopkins University School of Medicine, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
245 Main St
Danielson, CT 06239-2816
Phone (888) 316-5221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029573 | CT | MD | Psychiatry Physician |
| 29573 | CT | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regeneration Therapy and Counseling LLC | Current | Accepting new patients | |
| Perception Programs Inc | Current | Accepting new patients | |
| Comprehensive Psychological Services | Psychiatry | Past | Accepting new patients |
| Western Tidewater Community Mental | Psychiatry | Past | Accepting new patients |
| Churchland Psychiatric Associates PC | 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/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Danielson, CT
- NPI 1033574355
-
- Substance Abuse Rehabilitation Facility
- Willimantic, CT
- NPI 1568530319
-
- Psychiatry Physician
- Chesapeake, VA
- NPI 1740359223
-
- Professional Counselor
- Chesapeake, VA
- NPI 1598861387
Psychiatry
-
dba Churchland Psychiatric Associates
- Psychiatry Physician
- Portsmouth, VA
- NPI 1821421454
-
dba Western Tidewater Community Services Board
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Suffolk, VA
- NPI 1689615296
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1528053949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 MAIN ST",
"city": "DANIELSON",
"state": "CT",
"postal_code": "062392816",
"telephone_number": "757-371-6772",
"fax_number": "866-203-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 MAIN ST",
"city": "DANIELSON",
"state": "CT",
"postal_code": "062392816",
"telephone_number": "888-316-5221",
"fax_number": "866-203-2138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLEN",
"first_name": "LOWELL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "029573",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101234443",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "29573",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "VA",
"license": "0101234443",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CT",
"license": "29573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danielson, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.