Active NPI
Marina Nakic, MD, PHD
- Psychiatry Physician
- New Haven, CT
National Provider Identifier
1659593317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 047320
- Practice address
- 300 George St Ste 901
New Haven, CT 06511-6662 - Phone
- (202) 441-6780
- NPI assigned
- May 3, 2007
- Last updated
- Sep 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 047320 | CT | Primary |
Addresses
Primary practice location
300 George St Ste 901
New Haven, CT 06511-6662
Mailing address
300 George St Ste 901
New Haven, CT 06511-6662
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047320 | CT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252886400000",
"number": "1659593317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 GEORGE ST STE 901",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065116662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 GEORGE ST STE 901",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065116662",
"telephone_number": "202-441-6780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKIC",
"first_name": "MARINA",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2009-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "047320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.