Provider Demographics
NPI:1194742957
Name:PSYCHIATRIC CONSULTANTS LLC
Entity type:Organization
Organization Name:PSYCHIATRIC CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CIARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-483-5300
Mailing Address - Street 1:6 BUSINESS PARK DR.
Mailing Address - Street 2:SUITE 203 A
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405
Mailing Address - Country:US
Mailing Address - Phone:203-483-5300
Mailing Address - Fax:203-483-6400
Practice Address - Street 1:6 BUSINESS PARK DR.
Practice Address - Street 2:SUITE 203 A
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405
Practice Address - Country:US
Practice Address - Phone:203-483-5300
Practice Address - Fax:203-483-6400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT250932084N0400X
CT0223852084P0800X
CT17662084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT260000685Medicare PIN
CTB84139Medicare UPIN
CT260000685Medicare ID - Type Unspecified
B84139Medicare UPIN