Active NPI
Shuba Rodrigues, MD
- Psychiatry Physician
- West Haven, CT
National Provider Identifier
1700998325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 034297
- Practice address
- 950 Campbell Ave
Vamc, #116a, Mental Health Clinic
West Haven, CT 06516-2770 - Phone
- (203) 932-5711
- Fax
- (203) 937-4789
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- 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 | 034297 | CT | Primary |
Addresses
Primary practice location
950 Campbell Ave
Vamc, #116a, Mental Health Clinic
West Haven, CT 06516-2770
Mailing address
15 Mimosa LN
Shelton, CT 06484-2056
Phone (203) 932-5711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700998325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MIMOSA LN",
"city": "SHELTON",
"state": "CT",
"postal_code": "064842056",
"telephone_number": "203-932-5711",
"fax_number": "203-937-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 CAMPBELL AVE",
"address_2": "VAMC, #116A, MENTAL HEALTH CLINIC",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065162770",
"telephone_number": "203-932-5711",
"fax_number": "203-937-4789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUES",
"first_name": "SHUBA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "034297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.