EILEEN MARY TICHY PAC RD
NPI 1699851568
Physician Assistant - Medical in New Haven, CT

Active since October 31, 2006PECOS Enrolled
2 CHURCH ST S, SUITE 401, NEW HAVEN, CT 06519(203) 785-5192 Get Directions Write a Review

NPPES record last updated: April 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eileen Mary Tichy Pac Rd NPPES

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

EILEEN MARY TICHY PAC RD (NPI 1699851568) is an individual medical provider in New Haven, Connecticut, licensed in Connecticut (001042) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699851568
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameEILEEN MARY TICHYCredential: PAC RD
Location Address2 CHURCH ST S, SUITE 401New Haven, CT 06519-1717
Mailing Address155 Talcott RdGuilford, CT 06437-5001 · (203) 204-2398
Sole ProprietorYes
Enumeration DateOctober 31, 2006
Last NPPES UpdateApril 1, 2011
NPI 1699851568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CT · 001042
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License PENDING (CT)
2 CHURCH ST S, New Haven, CT 06519

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Eileen Mary Tichy Pac Rd 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.

Other Providers at the Same Location NPPES 20

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

Dermatology
2 CHURCH ST S, SUITE 305
NEW HAVEN, CT 06519
Advanced Practice Midwife
2 CHURCH ST S, #209
NEW HAVEN, CT 06519
Dietitian, Registered
2 CHURCH ST S, SUITE 511
NEW HAVEN, CT 06519
Psychiatry & Neurology (Psychiatry)
2 CHURCH ST S, SUITE 207
NEW HAVEN, CT 06519
Dietitian, Registered (Nutrition, Pediatric)
2 CHURCH ST S, SUITE 404
NEW HAVEN, CT 06519
Obstetrics & Gynecology
2 CHURCH ST S, #209
NEW HAVEN, CT 06519
Physician Assistant (Medical)
2 CHURCH ST S, SUITE 515
NEW HAVEN, CT 06519
Nurse Practitioner (Pediatrics)
2 CHURCH ST S, SUITE 404
NEW HAVEN, CT 06519

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 Eileen Tichy's NPI number?

The NPI number for Eileen Tichy is 1699851568. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Eileen Tichy located?

Eileen Tichy practices at 2 Church St S Suite 401, New Haven, CT 06519. The listed phone number is (203) 785-5192.

What is Eileen Tichy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Eileen Tichy enrolled in Medicare?

Yes. Eileen Tichy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eileen Tichy was last updated on April 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.