Leela Panoor, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

024173 Issued in CT

Practice address

155 W Main St
Vernon, CT 06066-3578

Phone

(860) 872-9825

Fax

(860) 870-9384

NPI assigned

Jun 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hockanum Valley Community Council, Inc.Group PAC ID 3476534017, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drpanoor@ctproviderdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hockanum Valley Community Council, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vernon, CT
  • NPI 1336179480
  Medicare reassignment Care Compare group NPD
• Hartford Psychological Services, LLC

  • Psychologist
  • Hartford, CT
  • NPI 1891989026
  Medicare reassignment NPD
• Natchaug Hospital, Inc.

  • Psychiatric Hospital
  • Mansfield Center, CT
  • NPI 1295811321
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1609802388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W MAIN ST",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663578",
            "telephone_number": "860-872-9825",
            "fax_number": "860-870-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W MAIN ST",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663578",
            "telephone_number": "860-872-9825",
            "fax_number": "860-870-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOOR",
        "first_name": "LEELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "024173",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "024173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001241736",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthopedic Associates of Hartford,PC
• Theresa Ouellette, LCSW
• Tammy L. Page, M.S. OTR/L
• Pamela J Paine, AUD
• Barbara Pajak, LPC
• Julie T Paolino, PT
• Stephen Nicholas Papadoulias, PHARMD, RPH, RXM
• Jennifer Ruth Paradis, LCSW
• Hyun Joo Park, M.D.
• Robert Parnes, M.D.

• Psychiatry Physician in Vernon, CT
• Providers in Vernon, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.