Provider Demographics
NPI:1770714453
Name:NEW ENGLAND PSYCHIATRIC ASSOCIATES LLC
Entity type:Organization
Organization Name:NEW ENGLAND PSYCHIATRIC ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SABOOH
Authorized Official - Middle Name:
Authorized Official - Last Name:MUBBASHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-439-9155
Mailing Address - Street 1:420 S MAIN ST
Mailing Address - Street 2:UNIT 4
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-3145
Mailing Address - Country:US
Mailing Address - Phone:203-439-9155
Mailing Address - Fax:203-439-9156
Practice Address - Street 1:50 HOSPITAL HILL RD
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:CT
Practice Address - Zip Code:06069-2096
Practice Address - Country:US
Practice Address - Phone:860-364-4288
Practice Address - Fax:860-364-4268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit