Healthcare Provider Details

I. General information

NPI: 1194050187
Provider Name (Legal Business Name): ERIKA HAJATI APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2009
Last Update Date: 09/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HARTFORD HOSPITAL PSYCHIATRY DEPT 200 RETREAT AVENUE
HARTFORD CT
06106
US

IV. Provider business mailing address

200 RETREAT AVENUE HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD CT
06106-3309
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-7330
  • Fax:
Mailing address:
  • Phone: 860-545-7330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2290632
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number008201
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: