Barry M Rosenkranz, MD
Individual provider Active NPI Psychiatry Physician · West Hartford, CT
NPI 1730100546 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730100546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 14582 (CT)
- Practice address
- 10 North Main Street
Suite 309
West Hartford, CT 06107 - Phone
- (860) 521-1920
- Fax
- (860) 521-2129
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070105000229 | CT | Practitioner - Psychiatry | 8921008566 | Practice locations: West Hartford, CT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14582 | CT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barry M Rosen Kranz MD PC | Psychiatry | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 14582 | CT | Yes |
Addresses
Primary practice location
10 North Main Street
Suite 309
West Hartford, CT 06107
Mailing address
10 North Main Street
Suite 309
West Hartford, CT 06107
Phone (860) 521-1920
Other providers in West Hartford, CT
- James Paul Rosen
- Linda Rosen
- Rosenberg Orthodontics PC
- Eric Rosenberg
- Sally Rosengren
- John William Rosenlieb Jr.
- Myra Rosenstein
- Alan Howard Rosenthal
- Helene (Dba Laney) Rosenzweig
- Renata E Rossak
All providers in West Hartford, CT · 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 Jul 8, 2007. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.