SUNRISE MED LLC – NPI #1316629892
Clinic/Center

SUNRISE MED LLC is an AHC clinic located in DERBY, CT. NPPES has assigned the NPI number 1316629892 to SUNRISE MED LLC on August 03, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 3 years ago on Aug 18, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUNRISE MED LLC below.

NPI Profile for
SUNRISE MED LLC

NPI Number
1316629892
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUNRISE MED LLC
Primary location
130 DIVISION STREET
DERBY, CT 06418
Phone: (203) 872-2131 Fax:
Mailing address
1000 BOSTON POST RD # 1015
OLD SAYBROOK, CT 06475-2142
Phone: (203) 872-2131 Fax: (207) 419-7179
Organization Subpart
No
Authorized Official
DIANA KURLYANDCHIK
PSYCHIATRIST
Phone: (917) 603-0509
Updated
Certification Date
Aug 16, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.