Mirmir Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MIRMIR PSYCHIATRY

Practice address

157 Church St Ste 1976
New Haven, CT 06510-2100

Phone

(202) 734-7926

NPI assigned

Mar 2, 2022

Organization subpart

No

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

Authorized official

Name

Ryan Kennan, APRN

Title

Owner/Aprn

Phone

(202) 734-7926

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ryan Keenan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bridgeport, CT
  • NPI 1003425331
  NPD

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1639826498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 CHURCH ST STE 1976",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102100",
            "telephone_number": "202-734-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CHURCH ST STE 1976",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102100",
            "telephone_number": "202-734-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRMIR PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "KENNAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/APRN",
        "authorized_official_telephone_number": "202-734-7926",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mirabile, MMSC., PA-C
• Cynthia A Miranda, RDH
• Joynell Mirasol, DNP
• Mohammadhassan Mirbolouk
• Maddisyn Mircsev, LMSW
• Haris Mirza, MD
• Mohammed Mirza, M.D.
• Nadeem Mirza, MD
• Komeil Mirzaei Baboli, MD
• Saman Mirzaei, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in New Haven, CT
• Providers in New Haven, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.