ISMENE PETRAKIS MD
NPI 1295826626
Psychiatry & Neurology - Addiction Psychiatry in West Haven, CT
- Individual
- Female
- Psychiatry & Neurology
- Addiction Psychiatry
About ISMENE PETRAKIS
This page provides the complete NPI Profile along with additional information for Ismene Petrakis, a provider established in West Haven, Connecticut with a medical specialization in Psychiatry & Neurology, focusing in addiction psychiatry . The healthcare provider is registered in the NPI registry with number 1295826626 assigned on September 2006. The practitioner's primary taxonomy code is 2084P0802X with license number 030075 (CT). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1295826626 Verify this NPI
- Provider Name
- ISMENE PETRAKIS MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 950 CAMPBELL AVE # 116A WEST HAVEN, CT 06516
- Location Phone
- (203) 932-5711
- Location Fax
- (203) 937-4791
- Mailing Address
- 950 CAMPBELL AVE # 116A WEST HAVEN, CT 06516
- Mailing Phone
- (203) 932-5711
- Mailing Fax
- (203) 937-4791
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-28-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
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
Psychiatry & Neurology Addiction Psychiatry
- Taxonomy Code
- 2084P0802X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 030075
- License State
- CT
- Taxonomy Description
- Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 030075 (CT) |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
WEST HAVEN, CT 06516
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295826626, enumerated as an "individual" on September 28, 2006.
The provider is located at 950 CAMPBELL AVE # 116A WEST HAVEN, CT 06516 and the phone number is (203) 932-5711.
Psychiatry & Neurology with taxonomy code 2084P0802X and a focus in Addiction Psychiatry.