FAIRFIELD COUNTY HEALTH & WELLNESS SERVICES II LLC – NPI #1811426695
Psychiatry & Neurology

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

FAIRFIELD COUNTY HEALTH & WELLNESS SERVICES II LLC is a psychiatry & neurologist located in FAIRFIELD, CT. NPPES has assigned the NPI number 1811426695 to FAIRFIELD COUNTY HEALTH & WELLNESS SERVICES II LLC on June 06, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084A0401X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Medicine

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 FAIRFIELD COUNTY HEALTH & WELLNESS SERVICES II LLC below.

NPI Profile for
FAIRFIELD COUNTY HEALTH & WELLNESS SERVICES II LLC

NPI Number
1811426695
Enumeration Date

(more than 9 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
FAIRFIELD COUNTY HEALTH & WELLNESS SERVICES II LLC
Primary location
325 REEF ROAD/SUITE 109
FAIRFIELD, CT 06824
Phone: (203) 955-1821 Fax: (203) 955-1823
Mailing address
21 MAPLE RIDGE RD
TRUMBULL, CT 06611-5522
Phone: (203) 671-3587 Fax: (203) 671-3587
Organization Subpart
No
Authorized Official
CARINE JEAN
OWNER/MD
Phone: (203) 671-3587
Updated
Identifiers

Identifiers for FAIRFIELD COUNTY HEALTH & WELLNESS SERVICES II LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCT260003450
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
2084A0401X
- Psychiatry & Neurology / Addiction Medicine (Primary)
CT 033954
261QM0850X
- Clinic/Center / Adult Mental Health
CT 033954
2084P0802X
- Psychiatry & Neurology / Addiction Psychiatry
CT 033954

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.