Active NPI
Brian Eddy, M.D. LLC
- Adult Mental Health Clinic/Center
- West Hartford, CT
National Provider Identifier
1548599616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 044569
- Legal business name
- BRIAN EDDY, M.D. LLC
- Practice address
- 1224 Farmington Ave
West Hartford, CT 06107-2668 - Phone
- (860) 760-6857
- Fax
- (860) 499-5230
- NPI assigned
- Dec 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian C Eddy, M.D.
- Title
- Psychiatrist
- Phone
- (860) 760-6857
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 044569 | CT | Primary |
Addresses
Primary practice location
1224 Farmington Ave
West Hartford, CT 06107-2668
Mailing address
1224 Farmington Ave
West Hartford, CT 06107-2668
Phone (860) 760-6857
National Provider Directory
National Provider DirectoryLocations
1224 Farmington Ave
Ste 3
West Hartford, CT 06107
Phone (860) 313-0947
1224 Farmington Ave
West Hartford, CT 06107
Phone (860) 558-7800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261094400000",
"number": "1548599616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 FARMINGTON AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061072668",
"telephone_number": "860-760-6857",
"fax_number": "860-499-5230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 FARMINGTON AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061072668",
"telephone_number": "860-760-6857",
"fax_number": "860-499-5230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN EDDY, M.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-18",
"last_updated": "2009-12-18",
"status": "A",
"authorized_official_last_name": "EDDY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "860-760-6857",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "CT",
"license": "044569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.