Medop Behavioral Health Associates Pc

LBN: Medop Behavioral Health Associates Pc
Medop Behavioral Health Associates Pc is an health care organization with primary practice located at 55 Hatchetts Hill Rd , Old Lyme CT 06371-1534. The organization recently has 12 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Geropsychiatric. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Medop Behavioral Health Associates Pc can be contacted via phone (800) 370-3651, or through Dooley, Donna via phone (800) 370-3651.

Contact Information

Primary practice address
55 Hatchetts Hill Rd Old Lyme CT 06371-1534
Phone: (800) 370-3651
Fax: (877) 515-7147
Website:
Map and Directions
Authorized official contact:
Name: Dooley, Donna
Phone: (800) 370-3651

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Geropsychiatric 364SP0813X

Profile Details

NPI number 1053360677
LBN Legal business name Medop Behavioral Health Associates Pc
DBA Doing business as
Authorized official Dooley, Donna
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053360677 NPPES
Connecticut MEDICAID 004262531-MD
Connecticut MEDICAID 004266004-PHD
Connecticut MEDICAID 004266020-NP

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