MEDOP BEHAVIORAL HEALTH ASSOCIATES PC – NPI #1053360677
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

MEDOP BEHAVIORAL HEALTH ASSOCIATES PC is a psychiatry & neurologist located in OLD LYME, CT. NPPES has assigned the NPI number 1053360677 to MEDOP BEHAVIORAL HEALTH ASSOCIATES PC on May 09, 2006. 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 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 MEDOP BEHAVIORAL HEALTH ASSOCIATES PC below.

NPI Profile for
MEDOP BEHAVIORAL HEALTH ASSOCIATES PC

NPI Number
1053360677
Enumeration Date

(more than 20 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
MEDOP BEHAVIORAL HEALTH ASSOCIATES PC
Primary location
55 HATCHETTS HILL RD
OLD LYME, CT 06371-1534
Phone: (800) 370-3651 Fax: (877) 515-7147
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DONNA DOOLEY
CHIEF FINANCIAL OFFICER
Phone: (800) 370-3651
Updated
Identifiers

Identifiers for MEDOP BEHAVIORAL HEALTH ASSOCIATES PC

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
MEDICAIDCT004266004-PHD
MEDICAIDCT004266020-NP
MEDICAIDCT004262531-MD
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.

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.