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DR. THEDDEUS IHEANACHO M.D.
NPI 1922312503
Psychiatry & Neurology - Psychiatry in Milford, CT

Active since August 05, 2010PECOS Enrolled
203 BROAD ST, SUITE C-4, MILFORD, CT 06460(203) 874-0593(203) 877-8053 Get Directions Write a Review

NPPES record last updated: July 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theddeus Iheanacho M.d. NPPES

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

DR. THEDDEUS IHEANACHO M.D. (NPI 1922312503) is an individual psychiatry provider in Milford, Connecticut, licensed in Connecticut (49777) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1922312503
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. THEDDEUS IHEANACHOCredential: M.D.
Location Address203 BROAD ST, SUITE C-4Milford, CT 06460-4751
Mailing Address203 Broad St, Suite C-4Milford, CT 06460-4751 · (203) 874-0593 · Fax (203) 877-8053
Phone(203) 874-0593
Fax(203) 877-8053
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 5, 2010
Last NPPES UpdateJuly 16, 2012
✔ NPI 1922312503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CT · 49777✔ Licensed in NY · 258158
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.
203 BROAD ST, Milford, CT 06460
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theddeus Iheanacho M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779751300
PECOS Enrollment IDI20120202000742
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06460 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 9

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

LIVING SPRING LLC
Psychiatry & Neurology (Psychiatry)
203 BROAD ST
MILFORD, CT 06460
South Central Connecticut Planning Region (516) 513-2082
MS. HOLLY J GOSS MSN CNS APRN
Nurse Practitioner (Psychiatric/Mental Health)
203 BROAD ST, UNIT C-4
MILFORD, CT 06460
South Central Connecticut Planning Region (203) 733-1816
TARA J GLENNON OTR/L
Occupational Therapist (Pediatrics)
203 BROAD ST, UNIT C-2
MILFORD, CT 06460
South Central Connecticut Planning Region (203) 876-2000
CINDY BERNFELD LCSW
Social Worker (Clinical)
203 BROAD ST, SUITE C4
MILFORD, CT 06460
South Central Connecticut Planning Region (203) 877-2988
SOUTHERN CONNECTICUT BEHAVIORAL HEALTH LLC
Social Worker (Clinical)
203 BROAD ST, SUITE C-4
MILFORD, CT 06460
South Central Connecticut Planning Region (203) 685-3443
DR. ROSS STANLEY DELEONARDO SR. D.D.S.
Dentist (General Practice)
203 BROAD ST, SUITE C-1
MILFORD, CT 06460
South Central Connecticut Planning Region (203) 878-9444
HENRI M CZARNY MD
Psychiatry & Neurology (Psychiatry)
203 BROAD ST, SUITE C4
MILFORD, CT 06460
South Central Connecticut Planning Region (203) 878-7823
DR. JOANNA CELESTE PROCACCINI PSY.D., NCSP
Psychologist (Clinical)
203 BROAD ST, SUITE C4
MILFORD, CT 06460
South Central Connecticut Planning Region (203) 850-0140

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 Theddeus Iheanacho's NPI number?

The NPI number for Theddeus Iheanacho is 1922312503. It was assigned to this individual provider in the NPPES registry on August 5, 2010.

Where is Theddeus Iheanacho located?

Theddeus Iheanacho practices at 203 Broad St Suite C-4, Milford, CT 06460. The listed phone number is (203) 874-0593.

What is Theddeus Iheanacho's specialty?

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

Is Theddeus Iheanacho enrolled in Medicare?

Yes. Theddeus Iheanacho is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theddeus Iheanacho was last updated on July 16, 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.