Ian R Cameron MD PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

011816 Issued in CT

Legal business name

IAN R CAMERON MD PC

Practice address

2174 Main St
Glastonbury, CT 06033-2206

Phone

(860) 657-3602

Fax

(860) 657-4421

NPI assigned

Nov 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ian Richard Cameron, MD

Title

President

Phone

(860) 657-3602

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dorothy C Cameron, LCSW, MFT

  • Clinical Social Worker
  • Glastonbury, CT
  • NPI 1336176148
  NPD (past)

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1558699256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2174 MAIN ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332206",
            "telephone_number": "860-657-3602",
            "fax_number": "860-657-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 MAIN ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332206",
            "telephone_number": "860-657-3602",
            "fax_number": "860-657-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN R CAMERON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-657-3602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "011816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI",
            "identifier": "1568404242",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci Jo Hubbard, ATC
• Thomas Terrence Huck, MSW
• Sabrina Hudson, CCC-SLP
• Kathleen Mildred Humpage, RN, NCBTMB
• Kaitlin Maria Iacomini, LCSW
• Awais Ibad, M.D
• Hiba Ibad
• Immerse LLC
• Kenneth R Inchalik, MD
• Inner Peace Counseling

• Adult Mental Health Clinic/Center in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.