Provider Demographics
NPI:1902155526
Name:CONTEMPORARY CARE LLC
Entity Type:Organization
Organization Name:CONTEMPORARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TARIQUE
Authorized Official - Middle Name:DHYAN
Authorized Official - Last Name:PERERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-769-1312
Mailing Address - Street 1:81 HOLLY HILL LN
Mailing Address - Street 2:2ND FLR
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6071
Mailing Address - Country:US
Mailing Address - Phone:203-769-1312
Mailing Address - Fax:203-769-1313
Practice Address - Street 1:81 HOLLY HILL LN
Practice Address - Street 2:2ND FLR
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6071
Practice Address - Country:US
Practice Address - Phone:203-769-1312
Practice Address - Fax:203-769-1313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-29
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0392322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty