Mdlive Medical Group PA
NPI 1154039295ActiveOrganization· Psychiatry & Neurology, Psychiatry· Bloomfield, CT
Psychiatry & Neurology, Psychiatry in Bloomfield, Connecticut, registered in NPPES in November 2022, part of Mdlive Medical Group PA. The authorized official on file is Sue-Ann Adrians, Gp Pm.
Overview
| NPI | 1154039295 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mdlive Medical Group PA |
| NPI issued | Nov 8, 2022 |
| Last updated in NPPES | May 4, 2026 |
| Certified by provider | May 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | — | — |
| Counselor | 101Y00000X | — | — |
| Psychologist | 103T00000X | — | — |
| Social Worker | 104100000X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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