Organization Active NPI

Child and Adult Psychiatric Services PC

  • Psychiatry Physician
  • Waterbury, CT
National Provider Identifier
1821179516
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CHILD AND ADULT PSYCHIATRIC SERVICES PC
Practice address
417 Highland Avenue
Suite 1
Waterbury, CT 06708
Phone
(203) 755-9300
Fax
(203) 754-3196
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Arvind T Shah, MDNPI 1639276827
Title
President
Phone
(203) 755-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

417 Highland Avenue
Suite 1
Waterbury, CT 06708

Mailing address

417 Highland Avenue
Suite 1
Waterbury, CT 06708
Phone (203) 755-9300

National Provider Directory

National Provider Directory

Locations

304 Federal Rd
Ste 204
Brookfield, CT 06804
Phone (203) 755-9300

417 Highland Ave
Ste 1
Waterbury, CT 06708
Phone (203) 755-9300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1821179516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 HIGHLAND AVENUE",
            "address_2": "SUITE 1",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06708",
            "telephone_number": "203-755-9300",
            "fax_number": "203-754-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 HIGHLAND AVENUE",
            "address_2": "SUITE 1",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06708",
            "telephone_number": "203-755-9300",
            "fax_number": "203-754-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND ADULT PSYCHIATRIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-755-9300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.