Active NPI
Sudeshna Basu, M.D.
- Child & Adolescent Psychiatry Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 049663
- Practice address
- 200 Retreat Avenue
Hartford Hospital Child Psychiatry
Hartford, CT 06106-3310 - Phone
- (860) 545-7493
- NPI assigned
- Aug 5, 2007
- Last updated
- Apr 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X | 049663 | CT | Primary |
Addresses
Primary practice location
200 Retreat Avenue
Hartford Hospital Child Psychiatry
Hartford, CT 06106-3310
Mailing address
P.O. Box 415933
Hartford Hospital Professional Services
Boston, MA 02241-5933
Phone (860) 545-7602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001496637 | Medicaid | CT |
Other names 1
- Sudeshna Guha
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.63 of 100
- Quality
- 75.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049663 | CT | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Current | Accepting new patients | |
| Connecticut Children's Specialty Group, Inc. | Current | Accepting new patients | |
| Connecticut Children's Specialty Group, Inc. | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients |
Locations
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560
100 Retreat Ave
Ste 5015
Hartford, CT 06106
Phone (860) 837-9700
200 Retreat Ave
Hartford, CT 06106
Phone (860) 545-7000
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
85 Seymour St
Ste 918
Hartford, CT 06106
Phone (860) 527-2566
Interoperability endpoints
- sbasu10843@connecticutchildrens.direct-ci.com
- sudeshna.basu@xdr.hhchealthdirect.org
Organizations & group practices 4
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.
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-
- Ophthalmology Physician
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- NPI 1568056984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1861683039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 415933",
"address_2": "HARTFORD HOSPITAL PROFESSIONAL SERVICES",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415933",
"telephone_number": "860-545-7602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 RETREAT AVENUE",
"address_2": "HARTFORD HOSPITAL CHILD PSYCHIATRY",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063310",
"telephone_number": "860-545-7493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASU",
"first_name": "SUDESHNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CT",
"license": "049663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001496637",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUDESHNA",
"last_name": "GUHA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.