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NIKOLAI LIEDERS MD
NPI 1396813051
Psychiatry & Neurology - Psychiatry in Middletown, CT

Active since December 01, 2006PECOS Enrolled
DUTTON HOME SILVER ST, RIVER VALLEY SERVICES, MIDDLETOWN, CT 06457(860) 262-5358(860) 262-5356 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nikolai Lieders Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKOLAI LIEDERS MD (NPI 1396813051) is an individual psychiatry provider in Middletown, Connecticut, licensed in Connecticut (023342) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396813051
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameNIKOLAI LIEDERSCredential: MD
Location AddressDUTTON HOME SILVER ST, RIVER VALLEY SERVICESMiddletown, CT 06457
Mailing AddressPo Box 351, Dutton Home Silver St River Valley ServicesMiddletown, CT 06457 · (860) 262-5358 · Fax (860) 262-5356
Phone(860) 262-5358
Fax(860) 262-5356
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396813051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CT · 023342
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
DUTTON HOME SILVER ST, Middletown, CT 06457
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Other Identifiers 1

Medicare UPINB83327

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikolai Lieders Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nikolai Lieders reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

State Of Connecticut
0.5 mi
Adult Mental Health
SILVER STREET, DUTTON HOME
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 62 clinicians in this Medicare group
NPI 1427074426 (860) 262-5224
Charter Oak Health Center, Inc.
14 mi
Federally Qualified Health Center (FQHC)
21 GRAND ST
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 107 clinicians in this Medicare group
NPI 1992750855 (860) 550-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL U MANEMEIT LCSW
Social Worker (Clinical)
DUTTON HOME SILVER ST, RIVER VALLEY SERVICES
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 262-5358
KATHLEEN J FORD LCSW
Social Worker (Clinical)
DUTTON HOME SILVER ST, RIVER VALLEY SERVICES
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 262-5358
SANDRA R ROUSSEAU-BICKNELL LCSW
Social Worker (Clinical)
DUTTON HOME SILVER ST, RIVER VALLEY SERVICES
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 262-5358
GARY H HUNGERFORD LCSW
Social Worker (Clinical)
DUTTON HOME SILVER ST, RIVER VALLEY SERVICES
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 262-5358
HALEVOOR B MAHALINGAIAH MD
Psychiatry & Neurology (Psychiatry)
DUTTON HOME SILVER ST, RIVER VALLEY SERVICES
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 262-5358
MICHELLE LEISTER LCSW
Social Worker (Clinical)
DUTTON HOME SILVER ST, RIVER VALLEY SERVICES
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 262-5358

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nikolai Lieders's NPI number?

The NPI number for Nikolai Lieders is 1396813051. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Nikolai Lieders located?

Nikolai Lieders practices at Dutton Home Silver St River Valley Services, Middletown, CT 06457. The listed phone number is (860) 262-5358.

What is Nikolai Lieders's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nikolai Lieders enrolled in Medicare?

Yes. Nikolai Lieders is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nikolai Lieders's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikolai Lieders reassigns Medicare benefits to 2 organizations: State Of Connecticut (Middletown, CT) and Charter Oak Health Center, Inc. (Hartford, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nikolai Lieders's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nikolai Lieders was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.