M.B. Shimelman, MD, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

015578 Issued in CT

Legal business name

M.B. SHIMELMAN, MD, PC

Practice address

1 Long Wharf Drive
Suite 212
New Haven, CT 06511

Phone

(203) 624-5522

Fax

(203) 624-4301

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Myer B Shimelman, MD

Title

President

Phone

(203) 624-5522

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548465321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LONG WHARF DRIVE",
            "address_2": "SUITE 212",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-624-5522",
            "fax_number": "203-624-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LONG WHARF DRIVE",
            "address_2": "SUITE 212",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-624-5522",
            "fax_number": "203-624-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.B. SHIMELMAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHIMELMAN",
        "authorized_official_first_name": "MYER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-624-5522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "015578",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Christina Lyons, LCSW
• Michael S Lyons, MD
• Quavon Lyons
• Myasia Lytell
• M. Hasbani, M.D. and M.J. Hasbani, M.D., PH.D., LLC
• John M'Sadoques, PA-C
• Ethan Dwane Maahs, MD
• Marah Jawad Fayez Maayah
• Walter Mabe, LADC
• Jacob Garn Mabey

• Psychiatry Physician in New Haven, CT
• Providers in New Haven, 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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.