Active NPI
Kelly Jaziri, M.D.
- Psychiatry Physician
- Norwich, CT
National Provider Identifier
1891130597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 055081
- Practice address
- 108 New London Tpke
Norwich, CT 06360 - Phone
- (860) 889-3052
- Fax
- (860) 889-0926
- NPI assigned
- May 8, 2013
- Last updated
- Apr 14, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 055081 | CT | Primary |
Addresses
Primary practice location
108 New London Tpke
Norwich, CT 06360
Mailing address
108 New London Tpke
Norwich, CT 06360-2645
Phone (860) 889-3052
Other practice location 1
462 Grider St
1184-A
Buffalo, NY 14215-3021
Phone (716) 898-4221
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055081 | CT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly Jaziri, M.D. Psychiatric Services, LLC | Psychiatry | Current | Accepting new patients |
Locations
108 New London Tpke
Norwich, CT 06360
Phone (860) 886-5588
Interoperability endpoints
- kjaziri@npc.direct.kno2fy.com
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Norwich, CT
- NPI 1588478135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1891130597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 NEW LONDON TPKE",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602645",
"telephone_number": "860-889-3052",
"fax_number": "860-889-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 NEW LONDON TPKE",
"city": "NORWICH",
"state": "CT",
"postal_code": "06360",
"telephone_number": "860-889-3052",
"fax_number": "860-889-0926"
}
],
"practiceLocations": [
{
"address_1": "462 Grider St",
"address_2": "1184-A",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142153021",
"country_code": "US",
"telephone_number": "716-898-4221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAZIRI",
"first_name": "KELLY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-08",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "055081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.