Active NPI
Robert Horace Peters, M.D.
- Psychiatry Physician
- East Haven, CT
National Provider Identifier
1659351559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 008298
- Practice address
- 190 Morgan Ave
East Haven, CT 06512-4519 - Phone
- (203) 469-0256
- Fax
- (203) 469-2458
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 008298 | CT | Primary |
Addresses
Primary practice location
190 Morgan Ave
East Haven, CT 06512-4519
Mailing address
190 Morgan Ave
East Haven, CT 06512-4519
Phone (203) 469-0256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001082981 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008298 | CT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Energy Partnership, LLC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381190400000",
"number": "1659351559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 MORGAN AVE",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065124519",
"telephone_number": "203-469-0256",
"fax_number": "203-469-2458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 MORGAN AVE",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065124519",
"telephone_number": "203-469-0256",
"fax_number": "203-469-2458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "ROBERT",
"middle_name": "HORACE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2013-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "008298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001082981",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.