Individual provider Active NPI

Deepak Cyril D'Souza, M.D

  • Psychiatry Physician
  • West Haven, CT
National Provider Identifier
1821172073
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
032801 Issued in CT
Practice address
950 Campbell Ave
Psychiatry SVC 116a, VA Connecticut Healthcare System
West-Haven, CT 06516
Phone
(203) 932-5711
Fax
(203) 937-4860
NPI assigned
Oct 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 032801 CT Primary

Addresses

Primary practice location

950 Campbell Ave
Psychiatry SVC 116a, VA Connecticut Healthcare System
West-Haven, CT 06516

Mailing address

950 Campbell Ave
Psychiatry SVC 116a, VA Connecticut Healthcare System
West-Haven, CT 06516
Phone (203) 932-5711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032801CTMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821172073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 CAMPBELL AVE",
            "address_2": "PSYCHIATRY SVC 116A, VA CONNECTICUT HEALTHCARE SYSTEM",
            "city": "WEST-HAVEN",
            "state": "CT",
            "postal_code": "06516",
            "telephone_number": "203-932-5711",
            "fax_number": "203-937-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CAMPBELL AVE",
            "address_2": "PSYCHIATRY SVC 116A, VA CONNECTICUT HEALTHCARE SYSTEM",
            "city": "WEST-HAVEN",
            "state": "CT",
            "postal_code": "06516",
            "telephone_number": "203-932-5711",
            "fax_number": "203-937-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'SOUZA",
        "first_name": "DEEPAK",
        "middle_name": "CYRIL",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "032801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.