SUNRISE MED LLC
NPI 1316629892
Clinic/Center - Mental Health (Including Community Mental Health Center) in Derby, CT

NPI Status: Active since August 03, 2023

Contact Information

130 DIVISION STREET
DERBY, CT
ZIP 06418
Phone: (203) 872-2131

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About SUNRISE MED LLC

This page provides the complete NPI Profile along with additional information for Sunrise Med Llc, a provider established in Derby, Connecticut operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1316629892 assigned on August 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Diana Kurlyandchik Md (Psychiatrist)

NPI
1316629892
Provider Name
SUNRISE MED LLC
Entity Type
Organization
Location Address
130 DIVISION STREET DERBY, CT 06418
Location Phone
(203) 872-2131
Mailing Address
1000 BOSTON POST RD # 1015 OLD SAYBROOK, CT 06475
Mailing Phone
(203) 872-2131
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-03-2023
Last Update Date
08-18-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DIANA KURLYANDCHIK MD

Authorized Official Title
PSYCHIATRIST
Authorized Official Phone
(917) 603-0509

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1316629892
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
232612218818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 1 + 2 + 2 + 1 + 8 + 8 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1316629892 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497818462 KENNETH S SPECTOR MD PHD
Individual
Internal Medicine (Interventional Cardiology)130 DIVISION STREET
DERBY, CT 06418
(203) 732-7455
1306909379 MARK S GROGAN MD
Individual
Internal Medicine (Interventional Cardiology)130 DIVISION STREET
DERBY, CT 06418
(203) 732-7455
1265635148 EARL LEWIN BAKER MD
Individual
Internal Medicine130 DIVISION STREET
DERBY, CT 06418
(203) 735-7421
1912167164 DEBBIE N DOUGLAS LCSW
Individual
Social Worker (Clinical)130 DIVISION STREET GRIFFIN HOSPITAL
DERBY, CT 06418
(203) 732-7550
1962650291 PAMELA AUSTIN MSW
Individual
Social Worker130 DIVISION STREET GRIFFIN HOSPITAL
DERBY, CT 06418
(203) 732-7550
1528216421 VIRGINIA BREEDEN LADC
Individual
Counselor (Addiction (Substance Use Disorder))130 DIVISION STREET GRIFFIN HOSPITAL
DERBY, CT 06418
(203) 732-7550
1053565762 THOMAS HEFFERNAN MS
Individual
Counselor130 DIVISION STREET GRIFFIN HOSPITAL
DERBY, CT 06418
(203) 732-7550
1659511095 GLORIA DZEROVYCH LCSW
Individual
Social Worker (Clinical)130 DIVISION STREET GRIFFIN HOSPITAL
DERBY, CT 06418
(203) 732-7550
1225368954 BROOKE LILLIE MA
Individual
Counselor (Mental Health)130 DIVISION STREET GRIFFIN HOSPITAL
DERBY, CT 06418
(203) 732-7550
1467672592COMPREHENSIVE PAIN AND HEADACHE TREATMENT CENTERS, LLC
Organization
Pain Medicine (Interventional Pain Medicine)130 DIVISION STREET
DERBY, CT 06418
(203) 732-1570
1912324815MRS. MELISSA MITRI
Individual
Dietitian, Registered130 DIVISION STREET
DERBY, CT 06418
(203) 732-7585
1790305159MS. INSHIYA LOWAI DAWOODI M.D.
Individual
Student in an Organized Health Care Education/Training Program130 DIVISION STREET GRIFFIN HOSPITAL
DERBY, CT 06418
(203) 732-7327
1245414440 MARY MASCOLO PELLITTERI LADC
Individual
Counselor (Addiction (Substance Use Disorder))130 DIVISION STREET GRIFFIN HOSPITAL
DERBY, CT 06418
(203) 732-7550
1861073116MR. MUHAMMAD WAQAR REHAN MD
Individual
Student in an Organized Health Care Education/Training Program130 DIVISION STREET
DERBY, CT 06418
(203) 735-7421
1215673264 MOHSIN ALI M.D.
Individual
Student in an Organized Health Care Education/Training Program130 DIVISION STREET
DERBY, CT 06418
(203) 732-7327
1700522703DR. VERONICA ALTAGRACIA BALBUENA HURTADO
Individual
Student in an Organized Health Care Education/Training Program130 DIVISION STREET GRIFFIN HOSPITAL
DERBY, CT 06418
(203) 732-7327
1922703297 CESAR AUGUSTO RIVERA TOVAR M.D.
Individual
Student in an Organized Health Care Education/Training Program130 DIVISION STREET
DERBY, CT 06418
(203) 732-7327
1033964119 MUHAMMAD HUZAIFA JAVAID MD
Individual
Student in an Organized Health Care Education/Training Program130 DIVISION STREET
DERBY, CT 06418
(203) 732-7327
1588450415MR. CALYPSE ASANGBE NGWASIRI M.D.
Individual
Student in an Organized Health Care Education/Training Program130 DIVISION STREET
DERBY, CT 06418
(203) 732-7327

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316629892, enumerated in the NPI registry as an "organization" on August 03, 2023

The provider is located at 130 Division Street Derby, Ct 06418 and the phone number is (203) 872-2131

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on August 03, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.