Mercury Medical

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

045978 Issued in CT

Legal business name

MERCURY MEDICAL

Practice address

171 Grove PL
West Haven, CT 06516-6438

Phone

(616) 690-1835

NPI assigned

Sep 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Richard Andrew Sewell, MD

Title

President

Phone

(616) 690-1835

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1598015208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 GROVE PL",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065166438",
            "telephone_number": "616-690-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 GROVE PL",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065166438",
            "telephone_number": "616-690-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-690-1835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007163",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "045978",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "045978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Cooper Meltzer, MD
• Rachel Marie Menze
• Erick Damian Mercado, APRN, RN
• Aleagia Mercer-Falkoff
• Linda Teal Mercer, RDH
• Addie Merians, PHD
• Christopher Merrick, PHARMD
• Sarah Meshberg-Cohen, PH.D.
• Lawrence Messina, DDS
• Cynthia Metz

• Psychiatry Physician in West Haven, CT
• Providers in West 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 Sep 11, 2012; 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.