Active NPI
Kevin Sevarino, M.D. PH.D.
- Psychiatry Physician
- Wallingford, CT
National Provider Identifier
1689622631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 030083
- Practice address
- Gaylord Farms Rd.
Wallingford, CT 06492 - Phone
- (203) 284-2800
- Fax
- (203) 679-3598
- NPI assigned
- May 4, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 030083 | CT | Primary |
Addresses
Primary practice location
Gaylord Farms Rd.
Wallingford, CT 06492
Mailing address
Gaylord Farms Rd.
PO Box 400
Wallingford, CT 06492
Phone (203) 284-2800
Other practice location 1
883 Paddock Ave
Meriden, CT 06450-7044
Phone (203) 634-7020
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, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rushford Center, Inc. | Psychiatry | Current | Accepting new patients |
| Gaylord Hospital, Inc. | Current | Accepting new patients |
Locations
883 Paddock Ave
Meriden, CT 06450
Phone (203) 630-5220
50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553
Organizations & group practices 2
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.
-
- Long Term Care Hospital
- Wallingford, CT
- NPI 1730137753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1689622631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GAYLORD FARMS RD.",
"address_2": "PO BOX 400",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "06492",
"telephone_number": "203-284-2800",
"fax_number": "203-679-3598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GAYLORD FARMS RD.",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "06492",
"telephone_number": "203-284-2800",
"fax_number": "203-679-3598"
}
],
"practiceLocations": [
{
"address_1": "883 Paddock Ave",
"address_purpose": "LOCATION",
"city": "Meriden",
"state": "CT",
"postal_code": "064507044",
"country_code": "US",
"telephone_number": "203-634-7020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEVARINO",
"first_name": "KEVIN",
"credential": "M.D. PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "030083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.