Active NPI
Shelby Anderson Powers
- Addiction Psychiatry Physician
- West Haven, CT
National Provider Identifier
1649808817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- 77342
- Practice address
- 950 Campbell Ave
West Haven, CT 06516-2770 - Phone
- (203) 932-5711
- NPI assigned
- Apr 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1.077342 | CT | |
| Addiction Psychiatry Physician | 2084P0802X | 77342 | CT | Primary |
Addresses
Primary practice location
950 Campbell Ave
West Haven, CT 06516-2770
Mailing address
PO Box 4
Cheshire, CT 06410-0004
Other practice location 1
1 Long Wharf Dr Ste 321
New Haven, CT 06511-5946
Phone (203) 781-4600
Other practice location 2
34 Park St
New Haven, CT 06519-1109
Phone (203) 974-7300
Other names 1
- Shelby Diane Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1.077342 | CT | MD | Psychiatry Physician |
| 77342 | CT | MD | Addiction Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1649808817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064100004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 CAMPBELL AVE",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065162770",
"telephone_number": "203-932-5711"
}
],
"practiceLocations": [
{
"address_1": "1 Long Wharf Dr Ste 321",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065115946",
"country_code": "US",
"telephone_number": "203-781-4600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "34 Park St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065191109",
"country_code": "US",
"telephone_number": "203-974-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWERS",
"first_name": "SHELBY",
"middle_name": "ANDERSON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-01",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "1.077342",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "CT",
"license": "77342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELBY",
"last_name": "ANDERSON",
"middle_name": "DIANE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.