Ayotunde Ayobello, M.D
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Mansfield Center, CT
NPI 1700317575 · NPPES record last updated May 10, 2021
Key facts
- NPI
- 1700317575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- 65593 (CT)
- Practice address
- 189 Storrs Rd
Mansfield Center, CT 06250-1683 - Phone
- (860) 456-1311
- NPI assigned
- Mar 23, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65593 | CT | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Psychiatry | Current |
Accepting new patients |
| Yale University | Current |
Accepting new patients | |
| Natchaug Hospital, Inc. | Current |
Accepting new patients |
Locations
189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
Interoperability endpoints
- aayobello463157@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 65593 | CT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | 65593 | CT | Yes |
Addresses
Primary practice location
189 Storrs Rd
Mansfield Center, CT 06250-1683
Mailing address
189 Storrs Rd
Mansfield Center, CT 06250-1683
Phone (917) 969-7446
Other practice location 1
1906 Belleview Ave SE
Carilion Roanoke Memorial Hospital
Roanoke, VA 24014-1838
Phone (540) 981-7000
Other providers in Mansfield Center, CT
- Cheryl A Armstrong
- Katherine L Arzt
- Julie Mary Asare
- Michael John Asinas
- Joann Averill
- Jennifer Badeau
- Shea Bailey
- Kyle Barrette
- Ninsis Batista
- Addison M Belcamino
All providers in Mansfield Center, CT · Child & Adolescent Psychiatry Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.