Organization Active NPI

Brian Eddy, M.D. LLC

  • Adult Mental Health Clinic/Center
  • West Hartford, CT
National Provider Identifier
1548599616
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
044569 Issued in CT
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

Updated by the provider on Dec 18, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.