Mahboob Ahmad Aslam, MD

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

047643 Issued in CT

Practice address

546 Cromwell Ave
Suite 101
Rocky Hill, CT 06067-1800

Phone

(860) 757-3874

Fax

(860) 757-3875

NPI assigned

Jul 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT2 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 2

Specialty

PsychiatryAlso: Addiction Medicine

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Connecticut Addiction Medicine, LLCGroup PAC ID 3274758560, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Windsor Psychiatric Services, PLLC

  • Psychiatry Physician
  • Windsor, CT
  • NPI 1316523582
  Medicare reassignment NPD Authorized official
• Connecticut Addiction Medicine, LLC

  • Addiction Psychiatry Physician
  • Rocky Hill, CT
  • NPI 1710312368
  Medicare reassignment Care Compare group
• The Healthy Mind Psychiatric Services PC

  • Psychiatry Physician
  • Middlebury, CT
  • NPI 1063785814
  Medicare reassignment NPD
• State of Connecticut

  • Psychiatric Hospital
  • Middletown, CT
  • NPI 1245256247
  Medicare reassignment
• Anna Gut LLC

  • Psychiatric/Mental Health Registered Nurse
  • Rocky Hill, CT
  • NPI 1174949572
  NPD (past)
• Saint Francis Behavioral Health Group, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hartford, CT
  • NPI 1801834890

  Psychiatry

  NPD (past)
• Acadia Healthcare, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bangor, ME
  • NPI 1568477297
  NPD (past)

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1801094479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 CROMWELL AVE",
            "address_2": "SUITE 101",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671800",
            "telephone_number": "860-969-1101",
            "fax_number": "860-838-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 CROMWELL AVE",
            "address_2": "SUITE 101",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671800",
            "telephone_number": "860-757-3874",
            "fax_number": "860-757-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASLAM",
        "first_name": "MAHBOOB",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "CT",
            "license": "047643",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "047643",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CT",
            "license": "047643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "practicemanager@ctaddictionmedicine.com",
            "affiliation": "N",
            "endpointDescription": "manager email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "546 Cromwell Ave",
            "address_2": "Suite 101",
            "city": "Rocky Hill",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060671800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Casey Anthony
• Anushka Inc
• Apex Physical Therapy, LLC
• Afua Asemnor, NP
• Ashley Chambrello, LLC
• Assured Peaceful Solutions Counseling LLC
• Atg Connecticut Inc
• Susan M Attmore, APRN
• Annie Augustine, APRN
• Mariah M Augustine

• Addiction Medicine (Psychiatry & Neurology) Physician in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.