Individual provider Active NPI

David Arnold Krulee, M.D.

  • Child & Adolescent Psychiatry Physician
  • Wallingford, CT
National Provider Identifier
1801984927
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
027637 Issued in CT
Practice address
1062 Barnes Road
#207
Wallingford, CT 06492-4206
Phone
(203) 265-4600
Fax
(815) 717-7564
NPI assigned
Oct 11, 2006
Last updated
Jan 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 027637 CT Primary

Addresses

Primary practice location

1062 Barnes Road
#207
Wallingford, CT 06492-4206

Mailing address

39 Harwich Lane
West Hartford, CT 06117-2756
Phone (860) 573-3833

Other identifiers 3

IdentifierTypeStateIssuer
010027637CT06OtherCTANTHEM BLUE CROSS
079954OtherCTMANAGED HEALTH NETWORK
P398812OtherCTOXFORD HEALTH PLANS

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
David a Krulee MD PLLC Child & Adolescent Psychiatry Current Accepting new patients

Organizations & group practices 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1801984927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 HARWICH LANE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172756",
            "telephone_number": "860-573-3833",
            "fax_number": "815-717-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 BARNES ROAD",
            "address_2": "#207",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924206",
            "telephone_number": "203-265-4600",
            "fax_number": "815-717-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRULEE",
        "first_name": "DAVID",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CT",
            "license": "027637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "010027637CT06",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "079954",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P398812",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.