Brian C Johnson, LMSW | |
458 Grand Ave, New Haven, CT 06513-3856 | |
(203) 752-1212 | |
Not Available |
Full Name | Brian C Johnson |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 458 Grand Ave, New Haven, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598130437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | State Of Connecticut |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487689022 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000169 |
Entity Name | State Of Connecticut |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902831548 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000291 |
Mailing Address | Practice Location Address |
---|---|
Brian C Johnson, LMSW 7 Spruce St, Bloomfield, CT 06002-2824 Ph: (860) 335-6985 | Brian C Johnson, LMSW 458 Grand Ave, New Haven, CT 06513-3856 Ph: (203) 752-1212 |
Rachel B Kopanski, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Columbus Ave, New Haven, CT 06519 Phone: 203-503-3250 Fax: 203-503-3254 | |
Joann Rotar, MS, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 869 Whalley Ave, New Haven, CT 06515 Phone: 203-491-1652 | |
Mr. Mark C Vanacore, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 871 State St, New Haven, CT 06511 Phone: 203-776-9900 Fax: 203-387-8522 | |
Dr. Rita W. Mccleary, PSY.D. Counselor Medicare: Medicare Enrolled Practice Location: 258 Bradley St, New Haven, CT 06510 Phone: 203-777-4045 | |
Mr. Pedro Delgado, BS. Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 Lexington Ave, 2nd Floor, New Haven, CT 06513 Phone: 203-464-6913 | |
Cluny Gombar, LPC Counselor Medicare: Medicare Enrolled Practice Location: 400 Columbus Ave, New Haven, CT 06519 Phone: 203-503-3055 Fax: 203-503-3066 | |
Mr. Mukhtar M Nalado, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 495 Congress Ave, New Haven, CT 06519 Phone: 203-781-4600 Fax: 203-781-4624 |