| Acclaim Behavioral Services, Llc | |
|
2400 Tamarack Avenue South Windsor CT 06074 | |
| (860) 539-6779 | |
| Not Available |
| Full Name | Acclaim Behavioral Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2400 Tamarack Avenue, South Windsor, Connecticut |
| Authorized Official Name and Position | Steven Bonanno (OWNER) |
| Authorized Official Contact | 8605396779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acclaim Behavioral Services, Llc 24 Frazer Fir Rd South Windsor CT 06074-1654 Ph: (860) 432-1160 | Acclaim Behavioral Services, Llc 2400 Tamarack Avenue South Windsor CT 06074 Ph: (860) 539-6779 |
| NPI Number | 1164791547 |
|---|---|
| Provider Enumeration Date | 12/14/2011 |
| Last Update Date | 12/14/2011 |
| Medicare PECOS PAC ID | 3971724253 |
|---|---|
| Medicare Enrollment ID | O20141030001433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164791547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 002823 (Connecticut) | Primary |
| Provider Name | Sarah Crawford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467614669 PECOS PAC ID: 1355478603 Enrollment ID: I20100920000588 |
| Provider Name | Steven Bonanno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093907917 PECOS PAC ID: 4688896863 Enrollment ID: I20141104002075 |
| Provider Name | Eli M Aroesty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164814463 PECOS PAC ID: 4880913151 Enrollment ID: I20150507002640 |
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