Gardner Psychiatry Llc
LBN: Gardner Psychiatry Llc
Gardner Psychiatry Llc is an health care organization with primary practice located at 258 Bradley St , New Haven CT 06510-1106. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty.
Gardner Psychiatry Llc can be contacted via phone (203) 303-9262, or through Gardner, Orawan Beth via phone (203) 303-9262.
Contact Information
Primary practice address
258 Bradley St
New Haven CT 06510-1106
Phone: (203) 303-9262
Fax: (860) 672-1584
Website:
Authorized official contact:
Name: Gardner, Orawan Beth Advanced Practice Registered Nurse (APRN)
Phone: (203) 303-9262
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1598483455 |
|---|---|
| LBN Legal business name | Gardner Psychiatry Llc |
| DBA Doing business as | |
| Authorized official | Gardner, Orawan Beth Advanced Practice Registered Nurse (APRN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 17th, 2022 |
| Last updated | Mar 12th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598483455 | NPPES |
| Connecticut | MEDICAID | 004025219 |
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