Unknown Individual – Psychiatry Physician, NPI 1619045804
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
97, Marvin Ridge Road, New Canaan, Western Connecticut Planning Region, Connecticut, 06840, United States
NEW CANAAN, CT 068406904
Phone: (203) 966-8059
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06840)
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