Individual provider Active NPI

Erica Grace Ahlert, MD

  • Psychiatry Physician
  • New Haven, CT
National Provider Identifier
1750479481
Registry record updated Nov 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
043580 Issued in CT
Practice address
357 Whitney Ave Ste 303
New Haven, CT 06511-2364
Phone
(203) 773-1988
Fax
(203) 773-1988
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 28731 SC
Child & Adolescent Psychiatry Physician 2084P0804X 043580 CT
Psychiatry Physician 2084P0800X 043580 CT Primary

Addresses

Primary practice location

357 Whitney Ave Ste 303
New Haven, CT 06511-2364

Mailing address

357 Whitney Ave Ste 303
New Haven, CT 06511-2364
Phone (203) 773-1988

Other practice location 1

17 Hillhouse Avenue
Yale University Health Services
New Haven, CT 06520
Phone (203) 432-0290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
043580CTMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700265600000",
    "number": "1750479481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 WHITNEY AVE STE 303",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112364",
            "telephone_number": "203-773-1988",
            "fax_number": "203-773-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 WHITNEY AVE STE 303",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112364",
            "telephone_number": "203-773-1988",
            "fax_number": "203-773-1988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Hillhouse Avenue",
            "address_2": "Yale University Health Services",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "06520",
            "country_code": "US",
            "telephone_number": "203-432-0290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHLERT",
        "first_name": "ERICA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-11-18",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "28731",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CT",
            "license": "043580",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "043580",
            "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 Nov 18, 2023; 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.