Unknown Individual – Psychiatry Physician, NPI 1265544779
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
51, North Main Street, Southington Center Historic District, North End, Southington, Capitol Planning Region, Connecticut, 06489, United States
SUITE 2C
SOUTHINGTON, CT 06489
Phone: (860) 628-6281
Fax: (860) 628-0219
Type: Location
51 N MAIN ST STE 2C
SOUTHINGTON, CT 064892515
Phone: (860) 628-6281
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2023-03-23 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($16).
Total Amount
$31
General + Research + Ownership
Payments
2
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $16 |
| ITI, Inc. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 60 | 32 | $0 |
Insurance plans in this area (ZIP 06489)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | CT | 90792 | Psychiatric diagnostic evaluation with medical services | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | CT | |
| P S Y C H I A T R Y | CT | |
| Marriage And Family Therapist | CT | |
| P S Y C H I A T R Y | CT | |
| Nurse Practitioner | CT | |
| - | CT | |
| Nurse Practitioner | CT | |
| Marriage And Family Therapist | CT | |
| Psychiatry, Addiction Medicine | CT | |
| Mental Health Counselor | CT |
Reviews
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