Healthcare Provider Details

I. General information

NPI: 1205633070
Provider Name (Legal Business Name): RIHAB MAHMOOD PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 DEERFIELD RD
WINDSOR CT
06095-4252
US

IV. Provider business mailing address

120 BOBOLINK CT
WAYNE NJ
07470-8451
US

V. Phone/Fax

Practice location:
  • Phone: 860-270-0600
  • Fax: 860-748-4432
Mailing address:
  • Phone: 973-908-4050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number027096
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: