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NPI Code Detail

MEDICARE: NORWICH PSYCHIATRIC CENTER

MEDICARE: NORWICH PSYCHIATRIC CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor
21041C0700XClinical Social Worker
3106H00000XMarriage & Family Therapist
42084P0800XPsychiatry Physician
5363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1518003680
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORWICH PSYCHIATRIC CENTER
Provider Business Mailing Address
First Line : 108 NEW LONDON TPKE
Second Line :
City : NORWICH
State : CT
Zip : 06360-2645
Country : US
Telephone Number : 860-889-3052
Fax Number : 860-889-0926
Provider Business Practice Location Address
First Line : 108 NEW LONDON TPKE
Second Line :
City : NORWICH
State : CT
Zip : 06360-2645
Country : US
Telephone Number : 860-889-3052
Fax Number : 860-889-0926
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. WALID A. JAZIRI
Credential : M.D.
Telephone Number : 860-889-3052
Provider Enumeration Date : 01/29/2007
Last Update Date : 09/11/2025

Similar Medicare Providers

1629068598 — DR. LILIANA GALAN M.D.
Practice Location Address:
108 NEW LONDON TPKE
NORWICH, CT
06360-2645
Practice Phone: 860-886-5588
Practice Fax: 860-886-5535
1669583423 — DR. STANLEY JOHN DEZJOT D.C.
Practice Location Address:
108 NEW LONDON TPKE
NORWICH, CT
06360-2645
Practice Phone: 860-886-8007
Practice Fax: 860-886-9545
1477653475 — MS. OLYMPIA DENISE GREGORY CNM
Practice Location Address:
108 NEW LONDON TPKE
NORWICH, CT
06360-2645
Practice Phone: 860-859-3612
Practice Fax: 860-859-3343
1760538102 — DR. WALID A. JAZIRI M.D.
Practice Location Address:
108 NEW LONDON TPKE
NORWICH, CT
06360-2645
Practice Phone: 860-889-3052
Practice Fax: 860-889-0926
1235275256 — MRS. JANINE D. SYLVIA LPC
Practice Location Address:
108 NEW LONDON TPKE
NORWICH, CT
06360-2645
Practice Phone: 860-889-3052
Practice Fax: 860-889-0926
1588700538 — MRS. EILEEN M. MOORE APRN
Practice Location Address:
108 NEW LONDON TPKE
NORWICH, CT
06360-2645
Practice Phone: 860-889-3052
Practice Fax: 860-889-0926

Directions to “NORWICH PSYCHIATRIC CENTER ” Practice Location

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