Individual provider Active NPI

Rose Yu -Chin, MD FRCP FACP

  • Psychiatry Physician
  • Southbury, CT
National Provider Identifier
1891867693
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
026930 Issued in CT
Practice address
2 Pomperaug Office Park
Suite 202
Southbury, CT 06488-2288
Phone
(917) 902-6723
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 146803 NY
Psychiatry Physician 2084P0800X 026930 CT Primary

Addresses

Primary practice location

2 Pomperaug Office Park
Suite 202
Southbury, CT 06488-2288

Mailing address

617 Main St N
Southbury, CT 06488-1806
Phone (917) 902-6723

Other identifiers 1

IdentifierTypeStateIssuer
15D151OtherNYP10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031212000041 NY Practitioner - Psychiatry 5294631891 Practice locations: New York, NY
I20130520000281 CT Practitioner - Psychiatry 5294631891 Reassigns benefits to 2 organizations
Practice locations: Southbury, CT

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tufts University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connecticut Mental Health Specialists IncGroup PAC ID 0345130563, 65 clinicians
Value Based Long Term Care K PCGroup PAC ID 1355881418, 61 clinicians

Practice addresses (Care Compare)

270 Farmington Ave
Farmington, CT 06032-1953
Phone (860) 677-5570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Yu-Chin MD PC Psychiatry CurrentSince Feb 27, 2022 Accepting new patients
Connecticut Mental Health Specialists Inc Psychiatry CurrentSince Oct 1, 2013 Accepting new patients
Park Avenue Medical Weight and Wellness P.C. Past Accepting new patients

Locations

270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570

2 Pomperaug Office Park
Ste 202
Southbury, CT 06488
Phone (203) 267-7979

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1891867693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 MAIN ST N",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881806",
            "telephone_number": "917-902-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 POMPERAUG OFFICE PARK",
            "address_2": "SUITE 202",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882288",
            "telephone_number": "917-902-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU -CHIN",
        "first_name": "ROSE",
        "credential": "MD FRCP FACP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "146803",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "026930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P10",
            "identifier": "15D151",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

Verify at the official NPI Registry.