| Community Health And Wellness Center Of Greater Torrington Inc | |
|
469 Migeon Ave Torrington CT 06790-4643 | |
| (860) 489-0931 | |
| (860) 482-3067 |
| Full Name | Community Health And Wellness Center Of Greater Torrington Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 469 Migeon Ave, Torrington, Connecticut |
| Authorized Official Name and Position | Joanne Borduas (CEO/PRESIDENT) |
| Authorized Official Contact | 8604890931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health And Wellness Center Of Greater Torrington Inc 469 Migeon Ave Torrington CT 06790-4643 Ph: (860) 489-0931 | Community Health And Wellness Center Of Greater Torrington Inc 469 Migeon Ave Torrington CT 06790-4643 Ph: (860) 489-0931 |
| NPI Number | 1356318091 |
|---|---|
| Provider Enumeration Date | 03/01/2006 |
| Last Update Date | 08/30/2016 |
| Medicare PECOS PAC ID | 2365436847 |
|---|---|
| Medicare Enrollment ID | O20041013001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356318091 | NPI | - | NPPES |
| 071877 | Other | MEDICARE | |
| 008033022 | Medicaid | CT | |
| 004247872 | Medicaid | CT | |
| 008024018 | Medicaid | CT | |
| 071876 | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0490 (Connecticut) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Melanie A Mollica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649281544 PECOS PAC ID: 4284527367 Enrollment ID: I20040203000855 |
| Provider Name | Joan M Tekula |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417948118 PECOS PAC ID: 9739074170 Enrollment ID: I20040216001020 |
| Provider Name | Robert E. Nield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326143991 PECOS PAC ID: 1951395888 Enrollment ID: I20040413000725 |
| Provider Name | Stephen H Grund |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376520270 PECOS PAC ID: 6103817101 Enrollment ID: I20040519000858 |
| Provider Name | Joann M Orsatti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013012855 PECOS PAC ID: 0345213567 Enrollment ID: I20040817000106 |
| Provider Name | John L Renzulli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790726214 PECOS PAC ID: 7911919790 Enrollment ID: I20060616000112 |
| Provider Name | Rocco Russo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174664858 PECOS PAC ID: 7911092655 Enrollment ID: I20070926000948 |
| Provider Name | David A Sperling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538188800 PECOS PAC ID: 9133295421 Enrollment ID: I20080910000654 |
| Provider Name | Rebecca W Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538393814 PECOS PAC ID: 8527114487 Enrollment ID: I20090917000147 |
| Provider Name | Steven M Curland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609982560 PECOS PAC ID: 1850431966 Enrollment ID: I20091222000313 |
| Provider Name | Geetha Gangu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235102138 PECOS PAC ID: 4789726126 Enrollment ID: I20100122000203 |
| Provider Name | Ronald O Berger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356309132 PECOS PAC ID: 7012994684 Enrollment ID: I20111129000328 |
| Provider Name | Sally Knowles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750488870 PECOS PAC ID: 8022053016 Enrollment ID: I20150212000290 |
| Provider Name | Jurg Oggenfuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144452442 PECOS PAC ID: 5597811182 Enrollment ID: I20150701000369 |
| Provider Name | Jason Kersten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285041699 PECOS PAC ID: 4385956887 Enrollment ID: I20150710001670 |
| Provider Name | Cheryl L. Cappabianca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487733382 PECOS PAC ID: 4385954502 Enrollment ID: I20151030000067 |
| Provider Name | Mary E Romano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861852014 PECOS PAC ID: 3072812684 Enrollment ID: I20160504000293 |
| Provider Name | Gengyun Wen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215367081 PECOS PAC ID: 8224318365 Enrollment ID: I20161207002573 |
| Provider Name | Kimberly Layman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689103855 PECOS PAC ID: 5092087635 Enrollment ID: I20170817000832 |
| Provider Name | Katherine Louise Merrill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376853499 PECOS PAC ID: 7315280963 Enrollment ID: I20190522001215 |
| Provider Name | Martha Jean Boyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861957896 PECOS PAC ID: 0042541955 Enrollment ID: I20191008000694 |
| Provider Name | Jaclyn Elizabeth Alessio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902458359 PECOS PAC ID: 1850622762 Enrollment ID: I20191008000779 |
| Provider Name | Christina Audet Solomito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508375080 PECOS PAC ID: 5799115663 Enrollment ID: I20200416000237 |
| Provider Name | Mimansha Agarwal |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932742947 PECOS PAC ID: 3476963554 Enrollment ID: I20201030000750 |
| Provider Name | Yu-hui Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720501653 PECOS PAC ID: 9234549338 Enrollment ID: I20201030001482 |
| Provider Name | Nancy Christiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497371751 PECOS PAC ID: 8820408479 Enrollment ID: I20201110001437 |
| Provider Name | Tiffany Cesca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568075539 PECOS PAC ID: 1951719525 Enrollment ID: I20210420001568 |
| Provider Name | Rachel L Dalton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356983019 PECOS PAC ID: 6103235353 Enrollment ID: I20210429001871 |
| Provider Name | Yinjie Zhai |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255954467 PECOS PAC ID: 3072928233 Enrollment ID: I20210805000689 |
| Provider Name | Young Moon Cho |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1043845498 PECOS PAC ID: 4486058963 Enrollment ID: I20210805000694 |
| Provider Name | Nicole Beaulieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629642038 PECOS PAC ID: 6204232283 Enrollment ID: I20210831002893 |
| Provider Name | Prafull Das Gupta |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215691316 PECOS PAC ID: 9537539895 Enrollment ID: I20221230001552 |
| Provider Name | Victoria Rose Massey |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1427583400 PECOS PAC ID: 6002286382 Enrollment ID: I20221231000002 |
| Provider Name | Michelle Mcdowell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952936023 PECOS PAC ID: 6901033406 Enrollment ID: I20230517001232 |
| Provider Name | Raneem El-ayoub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528782794 PECOS PAC ID: 7719341601 Enrollment ID: I20230911003333 |
| Provider Name | Natalie Luciano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063716363 PECOS PAC ID: 1153775473 Enrollment ID: I20230920002646 |
| Provider Name | Nicole Collin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649870809 PECOS PAC ID: 8820442171 Enrollment ID: I20230920003963 |
| Provider Name | Quiona Cerisse Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629792593 PECOS PAC ID: 8921453382 Enrollment ID: I20231005000702 |
| Provider Name | Suzanne Jacob-muccino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396383071 PECOS PAC ID: 5395197107 Enrollment ID: I20240117002888 |
| Provider Name | Kristina Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598530453 PECOS PAC ID: 4486090248 Enrollment ID: I20240314003250 |
| Provider Name | Raya Ariella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689948986 PECOS PAC ID: 4486806007 Enrollment ID: I20240327001999 |
Torrington Dental Care Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Kennedy Dr, Suite L105, Torrington, CT 06790 Phone: 860-489-8940 Fax: 860-489-4346 | |
Community Health And Wellness Center Of Greater Torrington Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 469 Migeon Ave, Torrington, CT 06790 Phone: 860-489-0931 Fax: 860-489-3325 | |
Consolidated Orthodontic Services, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Silver Brook Ln, Torrington, CT 06790 Phone: 860-866-6760 | |
Positive Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 454 Prospect St, Torrington, CT 06790 Phone: 860-482-8750 Fax: 806-201-4580 | |
The Maria Seymour Brooker Memorial, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 157 Litchfield St, Torrington, CT 06790 Phone: 860-489-1328 Fax: 860-489-4761 | |
Kennedy Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Kennedy Dr, Suite-l-102, Torrington, CT 06790 Phone: 860-496-1200 | |
Albano & Greenwald Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 469 Prospect St, Torrington, CT 06790 Phone: 860-489-1234 |