Individual provider Active NPI

Michael J Pierce, MD

  • Psychiatry Physician
  • Middletown, CT
National Provider Identifier
1760453138
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
033509 Issued in CT
Practice address
1000 Silver Street
Middletown, CT 06457
Phone
(860) 262-5130
NPI assigned
Feb 1, 2006
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 033509 CT Primary

Addresses

Primary practice location

1000 Silver Street
Middletown, CT 06457

Mailing address

701 Hebron Ave
Suite 1
Glastonbury, CT 06033-2489
Phone (860) 657-8140

Other practice location 1

701 Hebron Ave Ste 1
Glastonbury, CT 06033-2489
Phone (860) 657-8140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071031000471 CT Practitioner - Psychiatry 2062509508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wright State University Boonshoft School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
State of ConnecticutGroup PAC ID 8022915677, 267 clinicians

Practice addresses (Care Compare)

1000 Silver St
Middletown, CT 06457-3940
Phone (860) 262-5000

701 Hebron Ave
Suite 1
Glastonbury, CT 06033-2489
Phone (860) 657-8140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033509CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Jul 8, 2021 Accepting new patients
State of Connecticut CurrentSince Jul 8, 2021 Accepting new patients
Michael J Pierce MD LLC Psychiatry CurrentSince Jan 1, 2001 Accepting new patients
The Center for Geriatric and Family Psychiatry, Inc. Past Accepting new patients

Locations

701 Hebron Ave
Ste 1
Glastonbury, CT 06033
Phone (860) 657-8140

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1760453138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HEBRON AVE",
            "address_2": "SUITE 1",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332489",
            "telephone_number": "860-657-8140",
            "fax_number": "860-430-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SILVER STREET",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-262-5130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Hebron Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060332489",
            "country_code": "US",
            "telephone_number": "860-657-8140",
            "fax_number": "860-430-9403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "033509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.