Bryan C Shelby MDJD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BRYAN C SHELBY MDJD LLC

Practice address

215 Main St
Westport, CT 06880-3210

Phone

(203) 221-0090

Fax

(844) 530-1500

NPI assigned

Oct 31, 2022

Organization subpart

No

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

Authorized official

Name

Bryan Christian Shelby, MDJDNPI 1023267655

Title

Member

Phone

(203) 221-0090

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan C. Shelby, MD

  • Psychiatry Physician
  • New Haven, CT
  • NPI 1023267655
  NPD Authorized official

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1689381584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MAIN ST",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803210",
            "telephone_number": "203-221-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MAIN ST",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803210",
            "telephone_number": "203-221-0090",
            "fax_number": "844-530-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN C SHELBY MDJD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "SHELBY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-221-0090",
        "authorized_official_credential": "MDJD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Stuart Briggs, PHD
• Susan Brody, HSW, LCSW
• Browder Family Dentistry
• Thomas David Brown, L.P.C.
• Amanda Bruening, PH.D
• Bethany Bryant, LMFT
• Heather Ann Buccigross, PA C
• Aidan Buckley
• Ai-Tram Ngoc Bui, MD
• Ebru Buluc-Halper, LPC, LMHC

• Psychiatry Physician in Westport, CT
• Providers in Westport, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.