Individual ProviderAmber BluePsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address300 George St Ste 901, New Haven, CT 06511(203) 785-2095PECOS EnrollmentBased on the most recent information from CMS, provider Amber Blue is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1124415484Provider TypeIndividualFull NameBlue, AmberCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date4/23/2015Last Updated10/26/2022Contact InformationPractice LocationPractice Address300 George St Ste 901, New Haven, CT 06511Phone(203) 785-2095FaxUnlisted FaxMailing LocationMailing Address300 George St Ste 901, New Haven, CT 06511-6662Phone(203) 785-2095FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense56592ConnecticutCode2084P0800XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense300138New YorkCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer