Basic Information
| Provider Information | |||||||||
| NPI: | 1477824266 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARRIOS | ||||||||
| FirstName: | DIGBY | ||||||||
| MiddleName: | ROBERT | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PSY. D., MA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 141 E MAIN ST | ||||||||
| Address2: | 4TH FLOOR-ADMINISTRATION | ||||||||
| City: | WATERBURY | ||||||||
| State: | CT | ||||||||
| PostalCode: | 067022310 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2035749000 | ||||||||
| FaxNumber: | 2035749006 | ||||||||
| Practice Location | |||||||||
| Address1: | 402 E MAIN ST | ||||||||
| Address2: | WATERBURY OP ADULT SERVICES | ||||||||
| City: | WATERBURY | ||||||||
| State: | CT | ||||||||
| PostalCode: | 067021701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037551143 | ||||||||
| FaxNumber: | 2035749006 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/25/2012 | ||||||||
| LastUpdateDate: | 02/22/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 18 | CT | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 103T00000X | 2688 | CT | Y | Behavioral Health & Social Service Providers | Psychologist | 106H00000X | 583 | CT | N | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
ID Information
| ID | Type | State | Issuer | Description | 060669107 | 01 | CT | HEALTHTYCT WELLMORE GRP/FACILITY | OTHER | 060669107 | 01 | CT | UBH- CONNECTICARE WELLMORE GRP/FACILITY | OTHER | 1038605 | 01 | CT | CIGNA BEHAVIORAL HEALTH | OTHER | 539512 | 01 | CT | MHN MANAGED HEALTH NETWORK | OTHER | 060669107 | 01 | CT | UBH- UNITED HEALTHCARE WELLMORE GRP/FACILITY | OTHER | 060669107 | 01 | CT | UNITED BEHAVIORAL HEALTH WELLMORE GRP/FACILITY | OTHER | 9602743 | 01 | CT | AETNA BEHAVIORAL HEALTH | OTHER | D339225-PINE STREET | 01 | CT | VALUE OPTIONS | OTHER | 060669107 | 01 | CT | UBH OXFORD HEALTH LIBERTY/FREEDOM WELLMORE GRP/FACILITY | OTHER | 008037420 | 01 | CT | HP MEDICAID | OTHER | 060669107 | 01 | CT | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY | OTHER | 539512 | 01 | CT | MHN TRICARE NORTH | OTHER | 12578396 | 01 | CT | CAQH | OTHER |