Active NPI
Shoreline Psychiatry of Western Connecticut, LLC
- Psychologist
- Darien, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- SHORELINE PSYCHIATRY OF WESTERN CONNECTICUT, LLC
- Practice address
- 20 Old Kings Hwy S
2ND Floor
Darien, CT 06820-4521 - Phone
- (203) 656-1452
- Fax
- (203) 656-1485
- NPI assigned
- Jul 5, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bart A Sloan, MD
- Title
- President
- Phone
- (203) 656-1452
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
20 Old Kings Hwy S
2ND Floor
Darien, CT 06820-4521
Mailing address
20 Old Kings Hwy S
2ND Floor
Darien, CT 06820-4521
Phone (203) 656-1452
National Provider Directory
National Provider Directory- Tax ID family
- Shoreline Psychiatry of Western Connecticut LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Norwalk, CT
- NPI 1134251564
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Darien, CT
- NPI 1194923888
Locations
20 Old Kings Hwy S
#2
Darien, CT 06820
Phone (203) 656-1452
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Norwalk, CT
- NPI 1447282371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639377328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 OLD KINGS HWY S",
"address_2": "2ND FLOOR",
"city": "DARIEN",
"state": "CT",
"postal_code": "068204521",
"telephone_number": "203-656-1452",
"fax_number": "203-656-1485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 OLD KINGS HWY S",
"address_2": "2ND FLOOR",
"city": "DARIEN",
"state": "CT",
"postal_code": "068204521",
"telephone_number": "203-656-1452",
"fax_number": "203-656-1485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHORELINE PSYCHIATRY OF WESTERN CONNECTICUT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SLOAN",
"authorized_official_first_name": "BART",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-656-1452",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Darien, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.