| Danbury Psychiatry Consultants, Llc | |
|
7 Old Sherman Tpke Ste 212 Danbury CT 06810-4174 | |
| (203) 616-5234 | |
| (203) 917-3046 |
| Full Name | Danbury Psychiatry Consultants, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7 Old Sherman Tpke Ste 212, Danbury, Connecticut |
| Authorized Official Name and Position | Daniel R Kelleher (OWNER) |
| Authorized Official Contact | 2036165234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danbury Psychiatry Consultants, Llc 7 Old Sherman Tpke Ste 212 Danbury CT 06810-4174 Ph: (203) 616-5234 | Danbury Psychiatry Consultants, Llc 7 Old Sherman Tpke Ste 212 Danbury CT 06810-4174 Ph: (203) 616-5234 |
| NPI Number | 1407309610 |
|---|---|
| Provider Enumeration Date | 07/25/2016 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Medicare PECOS PAC ID | 2961799929 |
|---|---|
| Medicare Enrollment ID | O20160920001033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407309610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Daniel R Kelleher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740278589 PECOS PAC ID: 4385695881 Enrollment ID: I20110727000011 |
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