The M Clinic, LLC
Organization Active NPI Psychiatry Physician · Weston, CT
NPI 1548847460 · NPPES record last updated Mar 26, 2021
Key facts
- NPI
- 1548847460
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- THE M CLINIC, LLC
- Practice address
- 31 Alwyn LN
Weston, CT 06883-1427 - Phone
- (732) 216-4450
- NPI assigned
- Mar 26, 2021
- Organization subpart
- No
Authorized official
- Name
- Ruchin Kansal
- Title
- Managing Member
- Phone
- (732) 216-4450
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Mental Health Counselor |
101YM0800X | |||
| Psychoanalyst |
102L00000X | |||
| Clinical Neuropsychologist |
103G00000X | |||
| Psychologist |
103T00000X | |||
| Psychiatric/Mental Health Registered Nurse |
163WP0808X | |||
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
31 Alwyn LN
Weston, CT 06883-1427
Mailing address
31 Alwyn LN
Weston, CT 06883-1427
Phone (732) 216-4450
Other names
- Mbrace
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@m-brace.life |
Other providers in Weston, CT
- Paul Edward Schwartz
- SSP ABA Site Two LLC
- Steven Blauner PLLC
- Jaqueline Lapa Sussman
- Richard Lewis Sussman
- The Weston Center Pharmacy LLC
- Jennifer Theriault
- Denise Weber
- Weston Pharmacy LLC
- Weston Pharmacy LLC
All providers in Weston, CT · 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 Mar 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.