Organization Active NPI

Rahim Shamsi, M.D. P.C.

  • Psychiatry Physician
  • Waterbury, CT
National Provider Identifier
1679873921
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
017405 Issued in CT
Legal business name
RAHIM SHAMSI, M.D. P.C.
Practice address
60 Westwood Avenue
Suite #310
Waterbury, CT 06708
Phone
(203) 753-6160
Fax
(203) 597-8171
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Rahim Shamsi, M.D.
Title
President/Owner
Phone
(203) 753-6160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 017405 CT Primary

Addresses

Primary practice location

60 Westwood Avenue
Suite #310
Waterbury, CT 06708

Mailing address

60 Westwood Avenue
Suite #310
Waterbury, CT 06708
Phone (203) 753-6160

Other identifiers 1

IdentifierTypeStateIssuer
001174051MedicaidCT

National Provider Directory

National Provider Directory

Locations

60 Westwood Ave
Ste 310
Waterbury, CT 06708
Phone (203) 753-6160

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1679873921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WESTWOOD AVENUE",
            "address_2": "SUITE #310",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06708",
            "telephone_number": "203-753-6160",
            "fax_number": "203-597-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WESTWOOD AVENUE",
            "address_2": "SUITE #310",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06708",
            "telephone_number": "203-753-6160",
            "fax_number": "203-597-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHIM SHAMSI, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "SHAMSI",
        "authorized_official_first_name": "RAHIM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "203-753-6160",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "017405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001174051",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.