Healthcare Provider Details

I. General information

NPI: 1659159085
Provider Name (Legal Business Name): QUIET CORNER PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 MAIN ST
PUTNAM CT
06260-1920
US

IV. Provider business mailing address

PO BOX 100
PUTNAM CT
06260-0100
US

V. Phone/Fax

Practice location:
  • Phone: 860-245-1107
  • Fax:
Mailing address:
  • Phone: 860-245-1107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH CALNAN
Title or Position: PSYCHIATRIST
Credential: DO
Phone: 860-245-1107