Active NPI
Tariq Latif, M.D.
- Psychiatry Physician
- Middletown, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 045240
- Practice address
- 28 Crescent St
Middletown, CT 06457-3654 - Phone
- (860) 358-6760
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 242765 | NY | |
| Psychiatry Physician | 2084P0800X | 045240 | CT | Primary |
Addresses
Primary practice location
28 Crescent St
Middletown, CT 06457-3654
Mailing address
6213 Town RDG
Middletown, CT 06457-6547
Phone (203) 912-9721
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 Compare- Specialty
- Psychiatry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Middlesex Hospital
Practice addresses (Care Compare)
270 Farmington Ave
Suite 309
Farmington, CT 06032-1953
Phone (860) 677-5570
28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-6000
41 Brewster Rd
Bristol, CT 06010-5161
Phone (860) 585-3000
Hospital & facility affiliations
- Middlesex Hospital
- Bristol Hospital
- Griffin Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.86 of 100
- Quality
- 11.77
- Promoting interoperability
- 98
- Improvement activities
- 0
- Cost
- 73.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242765 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlesex Hospital | Current | Accepting new patients | |
| Middlesex Hospital | Current | Accepting new patients | |
| Connecticut Pathology Group PC | Current | Accepting new patients | |
| Bristol Hospital Multi Specialty Group, Inc | Current | Accepting new patients | |
| Connecticut Mental Health Specialists Inc | Psychiatry | Current | Accepting new patients |
| Middlesex Hospital | Psychiatry | Current | Accepting new patients |
Locations
41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000
15 Riverside Ave
Bristol, CT 06010
Phone (860) 516-7593
270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570
80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878
28 Crescent St
Fl 7
Middletown, CT 06457
Phone (860) 358-6760
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
Interoperability endpoints
- tlatif12756@middlesexhealthprd.direct-ci.com
Organizations & group practices 7
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.
-
- General Practice Physician
- Bristol, CT
- NPI 1649265679
-
- Psychiatry Physician
- Farmington, CT
- NPI 1053362814
-
- Geriatric Medicine (Internal Medicine) Physician
- Shelton, CT
- NPI 1831921378
-
- Psychiatry Physician
- Middletown, CT
- NPI 1760451041
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
-
- Anatomic Pathology & Clinical Pathology Physician
- Middletown, CT
- NPI 1740219625
-
- Community Based Hospice Care Agency
- Middletown, CT
- NPI 1003873233
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bristol, CT
- NPI 1619901642
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992844419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6213 TOWN RDG",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064576547",
"telephone_number": "203-912-9721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 CRESCENT ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573654",
"telephone_number": "860-358-6760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATIF",
"first_name": "TARIQ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "242765",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "045240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, 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.
- 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.