Tadeusz Rachwal, MD
Individual provider Active NPI Psychiatry Physician · Stafford Springs, CT
NPI 1730167313 · NPPES record last updated Jun 17, 2009
Key facts
- NPI
- 1730167313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 035411 (CT)
- Practice address
- 201 Chestnut Hill Rd
JMH
Stafford Springs, CT 06076-4005 - Phone
- (860) 684-8290
- Fax
- (860) 684-8179
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035411 | CT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Behavioral Health Group, P.C. | Psychiatry | Past |
Accepting new patients |
| The Hospital of Central Connecticut at New Britain General and Bradley | Past | Accepting new patients | |
| The Connection Inc. | Past | Accepting new patients | |
| Johnson Professional Associates, PC | Psychiatry | Past |
Accepting new patients |
| Medoptions Behavioral Health Assoc, LLC | Psychiatry | Past | Accepting new patients |
| The Connection Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 035411 | CT | Yes |
Addresses
Primary practice location
201 Chestnut Hill Rd
JMH
Stafford Springs, CT 06076-4005
Mailing address
PO Box 789
Ludlow, MA 01056-0789
Phone (413) 509-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001354117 | Medicaid | CT |
Other providers in Stafford Springs, CT
- Vishal Patel
- Vernon E. Percy
- Muoi Petruff
- Rhianna Leigh Pluciennik
- Preferred Healthcare Associates Inc
- Andrea Leduc Reid
- Rite-Aid Pharmacy
- Robert D. Carlson, M.D. , LLC
- Kara Nicole Schoedler
- Lauren Sembersky
All providers in Stafford Springs, 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 Jun 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.