Provider Demographics
NPI:1225766017
Name:NUTMEG PSYCHIATRY INC
Entity Type:Organization
Organization Name:NUTMEG PSYCHIATRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:M
Authorized Official - Middle Name:MERIWETHER
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-566-0788
Mailing Address - Street 1:383 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-4652
Mailing Address - Country:US
Mailing Address - Phone:203-939-7910
Mailing Address - Fax:203-760-0095
Practice Address - Street 1:383 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4652
Practice Address - Country:US
Practice Address - Phone:203-939-7910
Practice Address - Fax:203-760-0095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty