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SPECTRUM BEHAVIORAL PC
NPI 1457636383
Psychiatry & Neurology - Child & Adolescent Psychiatry in Stamford, CT

Active since October 11, 2011
30 BUXTON FARM RD, SUITE140, STAMFORD, CT 06905(203) 612-7512(203) 930-3655 Get Directions Write a Review

NPPES record last updated: January 30, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Spectrum Behavioral Pc NPPES

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

SPECTRUM BEHAVIORAL PC (NPI 1457636383) is a healthcare organization registered as a child & adolescent psychiatry in Stamford, Connecticut and active in the NPI registry since October 2011. The organization lists Sunil Saxena, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1457636383
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameSPECTRUM BEHAVIORAL PC
Location Address30 BUXTON FARM RD, SUITE140Stamford, CT 06905-1224
Mailing Address30 Buxton Farm Rd, Suite140Stamford, CT 06905-1224 · (203) 612-7512 · Fax (203) 930-3655
Phone(203) 612-7512
Fax(203) 930-3655
Organization SubpartNo
Authorized OfficialSunil SaxenaMedical Director · (203) 612-7511
Enumeration DateOctober 11, 2011
Last NPPES UpdateJanuary 30, 2012
✔ NPI 1457636383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CT · 043723
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 3117 (CT)
30 BUXTON FARM RD, Stamford, CT 06905
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINI52047NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spectrum Behavioral Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20120103000014Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Spectrum Behavioral PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sunil Saxena, M.D.
Psychiatry
NPI 1346259637
170 MAPLE AVE SUITE 203
White Plains, NY 10601
(914) 831-0941
✔ PECOS13 mi

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

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 Spectrum Behavioral PC's NPI number?

The NPI number for Spectrum Behavioral PC is 1457636383. It was assigned to this organization in the NPPES registry on October 11, 2011.

Where is Spectrum Behavioral PC located?

Spectrum Behavioral PC is located at 30 Buxton Farm Rd Suite140, Stamford, CT 06905. The listed phone number is (203) 612-7512.

What is Spectrum Behavioral PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Spectrum Behavioral PC enrolled in Medicare?

Yes. Spectrum Behavioral PC is registered in the Medicare PECOS enrollment system.

When is Spectrum Behavioral PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Spectrum Behavioral PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Spectrum Behavioral PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spectrum Behavioral PC was last updated on January 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.