Active NPI
Henri M Czarny, MD
- Psychiatry Physician
- Milford, CT
National Provider Identifier
1669579561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 025068
- Practice address
- 203 Broad St
Suite C4
Milford, CT 06460 - Phone
- (203) 878-7823
- Fax
- (203) 877-8053
- NPI assigned
- Sep 20, 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 | 025068 | CT | Primary |
Addresses
Primary practice location
203 Broad St
Suite C4
Milford, CT 06460
Mailing address
203 Broad St
Suite C4
Milford, CT 06460
Phone (203) 878-7823
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001250687 | Medicaid | CT | |
| 010025068CT01 | Other | CT | ANTHEM |
| 168613 | Other | CT | MHN |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111118000328 | CT | Practitioner - Psychiatry | 0941474431 | Practice locations: Milford, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
57 Plains Rd
Unit 1C
Milford, CT 06461-2573
Phone (203) 878-7823
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025068 | CT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Past | Accepting new patients | |
| Living Spring LLC | Psychiatry | Past | Accepting new patients |
| The Kennedy Collective, Inc. | Past | Accepting new patients | |
| State of Connecticut | Past | Accepting new patients | |
| The Kennedy Collective, Inc. | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Milford, CT
- NPI 1043584535
-
- Skilled Nursing Facility
- Rocky Hill, CT
- NPI 1205951662
-
- Psychiatric Hospital
- Bridgeport, CT
- NPI 1720013360
-
- Behavior Analyst
- Trumbull, CT
- NPI 1326506072
-
- Developmentally Disabled Services Day Training Agency
- Trumbull, CT
- NPI 1710004098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285545600000",
"number": "1669579561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 BROAD ST",
"address_2": "SUITE C4",
"city": "MILFORD",
"state": "CT",
"postal_code": "06460",
"telephone_number": "203-878-7823",
"fax_number": "203-877-8053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 BROAD ST",
"address_2": "SUITE C4",
"city": "MILFORD",
"state": "CT",
"postal_code": "06460",
"telephone_number": "203-878-7823",
"fax_number": "203-877-8053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZARNY",
"first_name": "HENRI",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2010-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "025068",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001250687",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "010025068CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "168613",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.