Organization · Type 2 NPI
Phoenix Psychiatry LLC
Clinic/Center · East Hartford, CT
NPI number
1396463303
Active
Practice location
254 Burnside Ave Ste 4
East Hartford, CT 06108-2367
Other practice locations
- 250 Pomeroy Ave, Meriden, CT 06450-8316 · (860) 780-4313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
| Acute Care Nurse Practitioner | 363LA2100X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1396463303
Phoenix Psychiatry LLC's National Provider Identifier is 1396463303, issued on Aug 16, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in East Hartford, CT. The record was last updated on Aug 16, 2022.