Organization · Type 2 NPI

Mdlive Medical Group PA

Psychiatry Physician · Bloomfield, CT

NPI number 1154039295 Active

Practice location

900 Cottage Grove Rd
Bloomfield, CT 06002-2920

Call (800) 400-6354 Map

Mailing address

PO Box 5006
Hartford, CT 06102-5006

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	None listed
Psychologist	103T00000X	None listed
Social Worker	104100000X	None listed
Marriage & Family Therapist	106H00000X	None listed
Psychiatry Physician Primary	2084P0800X	None listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1154039295

Mdlive Medical Group PA's National Provider Identifier is 1154039295, issued on Nov 8, 2022. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Bloomfield, CT. The record was last updated on May 4, 2026.