Mentagen Advanced Behavioral Medicine, Pc

LBN: Mentagen Advanced Behavioral Medicine, Pc
Mentagen Advanced Behavioral Medicine, Pc is an health care organization with primary practice located at 74 New London Tpke Suite 5, Glastonbury CT 06033-4204. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Mentagen Advanced Behavioral Medicine, Pc can be contacted via phone (860) 338-4864, or through Shamsi, Mohammad via phone (860) 338-4864.

Contact Information

Primary practice address
74 New London Tpke Suite 5 Glastonbury CT 06033-4204
Phone: (860) 338-4864
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shamsi, Mohammad Doctor of Medicine (MD)
Phone: (860) 338-4864

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1538428206
LBN Legal business name Mentagen Advanced Behavioral Medicine, Pc
DBA Doing business as
Authorized official Shamsi, Mohammad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2012
Last updated May 15th, 2012 - about 14 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.

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