| Organization Name: | MEDOP BEHAVIORAL HEALTH ASSOCIATES PC |
| NPI Number: | 1053360677 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNA DOOLEY (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 20 Research Parkway Suite C Old Saybrook |
| State: | CT US |
| Postal Code: | 06475 |
| Phone Number: | 8003703651 |
| Fax Number: | 8775157147 |
| NPI Enumeration Date: | 05/09/2006 |
| NPI Last Update Date: | 08/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0805X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Geriatric Psychiatry |
| Taxonomy Definition: | Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |