Living Spring LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

49777 Issued in CT

Legal business name

LIVING SPRING LLC

Practice address

57 Plains Rd
Milford, CT 06461-2573

Phone

(203) 874-0593

NPI assigned

Mar 3, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theddeus Iheanacho, M.D.NPI 1922312503

Title

Director

Phone

(203) 874-0593

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theddeus Iheanacho, M.D.

  • Psychiatry Physician
  • Milford, CT
  • NPI 1922312503
  Medicare reassignment NPD Authorized official
• Uzoji Nwanaji-Enwerem, FNP

  • Family Nurse Practitioner
  • Stratford, CT
  • NPI 1639769300
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1730549759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 PLAINS RD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064612573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PLAINS RD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064612573",
            "telephone_number": "203-874-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING SPRING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "IHEANACHO",
        "authorized_official_first_name": "THEDDEUS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-874-0593",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "49777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Liscinsky, LPCA
• Cheryl G Litchman, D.C
• Tai Little Hall
• Chassidie Faith Liu
• Living Spring LLC
• Ljudmil Kljusev MD, LLC
• Jamie Adelis Llera, APRN
• Carol L. Lobato, L.P.N.
• Elizabeth Lobotsky, LMSW
• Mary Kate Locke, LCSW

• Psychiatry Physician in Milford, CT
• Providers in Milford, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.