Individual provider Active NPI

Victor Patin, MD

  • Psychiatry Physician
  • Darien, CT
National Provider Identifier
1881623544
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
029207 Issued in CT
Practice address
17 Old Kings Hwy S
Suite 1-2
Darien, CT 06820-4522
Phone
(203) 655-1559
Fax
(203) 655-1914
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

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 029207 CT Primary

Addresses

Primary practice location

17 Old Kings Hwy S
Suite 1-2
Darien, CT 06820-4522

Mailing address

17 Old Kings Hwy S
Suite 1-2
Darien, CT 06820-4522
Phone (203) 655-1559

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

State licenses

LicenseStateTypeSpecialty
029207CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients
Masonicare Primary Care Physicians PastSince Oct 1, 2001 Accepting new patients
Geriatric and Adult Psychiatry, LLC PastSince Nov 19, 1993 Accepting new patients
Geriatric and Adult Psychiatry, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881623544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 OLD KINGS HWY S",
            "address_2": "SUITE 1-2",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204522",
            "telephone_number": "203-655-1559",
            "fax_number": "203-655-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 OLD KINGS HWY S",
            "address_2": "SUITE 1-2",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204522",
            "telephone_number": "203-655-1559",
            "fax_number": "203-655-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIN",
        "first_name": "VICTOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "029207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • 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.