Individual provider Active NPI

Jeffrey Nachbar, MD

  • Psychiatry Physician
  • Torrington, CT
National Provider Identifier
1619182953
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
045809 Issued in CT
Practice address
540 Litchfield St
C/O Irene Benza
Torrington, CT 06790-6679
Phone
(860) 496-6361
Fax
(860) 496-6350
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 045809 CT Primary

Addresses

Primary practice location

540 Litchfield St
C/O Irene Benza
Torrington, CT 06790-6679

Mailing address

540 Litchfield St
C/O Irene Benza
Torrington, CT 06790-6679
Phone (860) 496-6361

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071022000249 CT Practitioner - Psychiatry 1355437468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of ConnecticutGroup PAC ID 8022915677, 267 clinicians

Practice addresses (Care Compare)

249 Winsted Rd FL
3 Western CT Mental Health Network
Torrington, CT 06790-2958
Phone (860) 496-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
045809CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte Hungerford Hospital CurrentSince Sep 17, 2007 Accepting new patients
State of Connecticut CurrentSince Jul 2, 2017 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Sep 17, 2007 Accepting new patients
State of Connecticut CurrentSince Jul 2, 2017 Accepting new patients

Locations

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

249 Winsted Rd
Fl 3
Torrington, CT 06790
Phone (860) 496-3700

538 Litchfield St
Torrington, CT 06790
Phone (860) 489-5068

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

55 W Main St
Ste 410
Waterbury, CT 06702
Phone (203) 805-6408

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1619182953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 LITCHFIELD ST",
            "address_2": "C/O IRENE BENZA",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "telephone_number": "860-496-6361",
            "fax_number": "860-496-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LITCHFIELD ST",
            "address_2": "C/O IRENE BENZA",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "telephone_number": "860-496-6361",
            "fax_number": "860-496-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACHBAR",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "045809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.