Active NPI
Diana Reichbind, P.A.
- Physician Assistant
- Shelton, CT
National Provider Identifier
1982913455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002479
- Practice address
- 2 Ivy Brook Rd
Suite 213
Shelton, CT 06484-6416 - Phone
- (203) 538-5400
- Fax
- (203) 538-5327
- NPI assigned
- Oct 1, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002479 | CT | Primary |
Addresses
Primary practice location
2 Ivy Brook Rd
Suite 213
Shelton, CT 06484-6416
Mailing address
2 Ivy Brook Rd
Suite 213
Shelton, CT 06484-6416
Phone (203) 538-5400
Other names 1
- Diana Mlynarski
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002479 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naugatuck Valley Weight Loss Center LLC | Past | Accepting new patients | |
| MW Wellness II, LLC | Past | Accepting new patients | |
| MW Wellness VIII, LLC | Past | Accepting new patients | |
| Saint Raphael Faculty Physicians | Physician Assistant | 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.
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-
- Internal Medicine Physician
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Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428624000000",
"number": "1982913455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 IVY BROOK RD",
"address_2": "SUITE 213",
"city": "SHELTON",
"state": "CT",
"postal_code": "064846416",
"telephone_number": "203-538-5400",
"fax_number": "203-538-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 IVY BROOK RD",
"address_2": "SUITE 213",
"city": "SHELTON",
"state": "CT",
"postal_code": "064846416",
"telephone_number": "203-538-5400",
"fax_number": "203-538-5327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHBIND",
"first_name": "DIANA",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-01",
"last_updated": "2015-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "002479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "MLYNARSKI",
"credential": "P.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.