Active NPI
Jean Carl Jarda, M.D.
- Addiction Psychiatry Physician
- Cromwell, CT
National Provider Identifier
1669402343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- 029551
- Practice address
- 28-2 Shunpike Rd
Cromwell, CT 06416 - Phone
- (860) 635-1441
- Fax
- (860) 635-1454
- NPI assigned
- Jul 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | 029551 | CT | Primary |
Addresses
Primary practice location
28-2 Shunpike Rd
Cromwell, CT 06416
Mailing address
595 Ridgewood Rd
Middletown, CT 06457-1950
Phone (860) 635-1441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029551 | CT | MD | Addiction Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Pathology Group PC | Current | Accepting new patients | |
| Middlesex Hospital | Current | Accepting new patients |
Locations
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
Interoperability endpoints
- jjarda12775@middlesexhealthprd.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Middlesex Hospital dba Middlesex Hospital Psychiatric Physician Servic
- Psychiatry Physician
- Middletown, CT
- NPI 1760451041
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
-
- Anatomic Pathology & Clinical Pathology Physician
- Middletown, CT
- NPI 1740219625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669402343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 RIDGEWOOD RD",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064571950",
"telephone_number": "860-635-1441",
"fax_number": "860-635-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28-2 SHUNPIKE RD",
"city": "CROMWELL",
"state": "CT",
"postal_code": "06416",
"telephone_number": "860-635-1441",
"fax_number": "860-635-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARDA",
"first_name": "JEAN CARL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "CT",
"license": "029551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.