Provider Demographics
NPI:1063213601
Name:SMART PSYCHIATRIC SERVICES PLLC
Entity type:Organization
Organization Name:SMART PSYCHIATRIC SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMART
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:475-414-1772
Mailing Address - Street 1:388 E MAIN ST STE 22L
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-2914
Mailing Address - Country:US
Mailing Address - Phone:475-414-1772
Mailing Address - Fax:814-298-5414
Practice Address - Street 1:388 E MAIN ST STE 22L
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-2914
Practice Address - Country:US
Practice Address - Phone:475-414-1772
Practice Address - Fax:814-298-5414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty