Organization Active NPI

Jennifer E. Myer MD LLC

  • Psychiatry Physician
  • New Haven, CT
National Provider Identifier
1740409952
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
039685 Issued in CT
Legal business name
JENNIFER E. MYER MD LLC
Practice address
261 Bradley St
3Rd Floor
New Haven, CT 06510-1104
Phone
(203) 752-1733
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jennifer Emily Myer, MDNPI 1609972538
Title
Proprioter
Phone
(203) 752-1733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 039685 CT Primary

Addresses

Primary practice location

261 Bradley St
3Rd Floor
New Haven, CT 06510-1104

Mailing address

261 Bradley St
3Rd Floor
New Haven, CT 06510-1104
Phone (203) 752-1733

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740409952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 BRADLEY ST",
            "address_2": "3RD FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101104",
            "telephone_number": "203-752-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 BRADLEY ST",
            "address_2": "3RD FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101104",
            "telephone_number": "203-752-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER E. MYER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "EMILY",
        "authorized_official_title_or_position": "PROPRIOTER",
        "authorized_official_telephone_number": "203-752-1733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "039685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.