Rosemary Balsam, M. D.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

014044 Issued in CT

Practice address

17 Hillhouse Ave
New Haven, CT 06511-6815

Phone

(203) 432-0076

Fax

(203) 432-7289

NPI assigned

Jun 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Yale University

  dba Yale Medicine

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1205822236
  NPD (past)
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, CT
  • NPI 1548066962
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861433161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HILLHOUSE AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116815",
            "telephone_number": "203-432-0076",
            "fax_number": "203-432-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HILLHOUSE AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116815",
            "telephone_number": "203-432-0076",
            "fax_number": "203-432-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSAM",
        "first_name": "ROSEMARY",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CT",
            "license": "014044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE-U.S.",
            "identifier": "A85530591",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Ballatori, MD
• Javier Ballester Gonzalez, MD
• Cristiana Baloescu, M.D.
• Joanne Baloga, LCSW
• Jodi Baloga, LCSW
• Andrew Lloyd Balter, M.D.
• Patricia Anne Balter, PH.D.
• Nigel S Bamford, MD
• Nancy Banack, PT
• Trevor Banack, M.D.

• Geriatric Psychiatry Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Geriatric Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.