Individual provider Active NPI

Robert Charles Powell, MD

  • Psychiatry Physician
  • Stamford, CT
National Provider Identifier
1740263862
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
64435 Issued in CT
Practice address
1351 Washington Blvd
Stamford, CT 06902-2419
Phone
(203) 388-1600
NPI assigned
Nov 22, 2005
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 64435 CT Primary
Psychiatry Physician 2084P0800X 125768-1 NY

Addresses

Primary practice location

1351 Washington Blvd
Stamford, CT 06902-2419

Mailing address

14 Jennifer Rd
Wakefield, MA 01880-2608
Phone (847) 819-2866

Other practice location 1

1520 Tower Rd
Winnetka, IL 60093-1627
Phone (847) 441-8283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME, ND, CT4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150413002240 NY Practitioner - Psychiatry 4284952771 Reassigns benefits to 3 organizations
I20200312000945 ME Practitioner - Psychiatry 4284952771 Reassigns benefits to 2 organizations
I20210120002061 ND Practitioner - Psychiatry 4284952771 Reassigns benefits to 1 organization
I20250116001617 CT Practitioner - Psychiatry 4284952771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.42 of 100Reported as group
Quality
52.16
Promoting interoperability
94
Improvement activities
40
Cost
67.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125768-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Maine CurrentSince Feb 1, 2020 Accepting new patients
St Alexius Medical Center CurrentSince Dec 21, 2020 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Cayuga Medical Center at Ithaca CurrentSince Jun 14, 2021 Accepting new patients
St. Alexius Medical Center CurrentSince Dec 21, 2020 Accepting new patients
State of Connecticut CurrentSince Jan 1, 2025 Accepting new patients
Cayuga Pathology PLLC Current Accepting new patients
The Long Island Home CurrentSince Jun 1, 2015 Accepting new patients
Northern Maine Medical Center CurrentSince Aug 7, 2023 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Feb 1, 2018 Accepting new patients
State of Maine CurrentSince Feb 1, 2020 Accepting new patients
State of Connecticut CurrentSince Jan 1, 2025 Accepting new patients
Cayuga Medical Center at Ithaca CurrentSince Jun 14, 2021 Accepting new patients
Jewish Board of Family and Children's Services, Inc. CurrentSince Feb 1, 2018 Accepting new patients
The Long Island Home CurrentSince Jun 1, 2015 Accepting new patients
Northern Maine Medical Center CurrentSince Aug 7, 2023 Accepting new patients
Robert Charles Powell, MD,PHD,SC Psychiatry Past Accepting new patients

Locations

1635 Central Ave
Bridgeport, CT 06610
Phone (203) 551-7464

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

109 Capitol St
#11
Augusta, ME 04330

656 State St
Bangor, ME 04401
Phone (207) 941-4000

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000

750 Astor Ave
Bronx, NY 10467
Phone (718) 882-5000

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

Interoperability endpoints

  • Direct secure messaging: robertpowell@mai.allscriptsdirect.net

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1740263862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JENNIFER RD",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802608",
            "telephone_number": "847-819-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 WASHINGTON BLVD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022419",
            "telephone_number": "203-388-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Tower Rd",
            "address_purpose": "LOCATION",
            "city": "Winnetka",
            "state": "IL",
            "postal_code": "600931627",
            "country_code": "US",
            "telephone_number": "847-441-8283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "64435",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "125768-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.