| Branford Counseling Center | |
|
342 Harbor Street Branford CT 06405 | |
| (203) 481-4248 | |
| (203) 483-7727 |
| Full Name | Branford Counseling Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 342 Harbor Street, Branford, Connecticut |
| Authorized Official Name and Position | Peter Cimino (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2034814248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Branford Counseling Center 342 Harbor Street Branford CT 06405 Ph: (203) 481-4248 | Branford Counseling Center 342 Harbor Street Branford CT 06405 Ph: (203) 481-4248 |
| NPI Number | 1063437895 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 02/06/2015 |
| Medicare PECOS PAC ID | 9234020165 |
|---|---|
| Medicare Enrollment ID | O20040322000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063437895 | NPI | - | NPPES |
| C-0149 | Other | CT | STATE LIC. NUMBER |
| ANC1650 | Other | CT | OXFORD INS. GRP NO. |
| 142474 | Other | CT | VALUE OPTS. B.H. ID NO. |
| 004051884 | Medicaid | CT | |
| 191065 | Other | CT | M.H.N./H.M.C. GRP NO. |
| Provider Name | Karen Gratrix |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821004300 PECOS PAC ID: 1951292713 Enrollment ID: I20040322001192 |
| Provider Name | Kimberly A Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720253537 PECOS PAC ID: 6901977297 Enrollment ID: I20080613000150 |
| Provider Name | Ellen Joy Hoffman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083812945 PECOS PAC ID: 5092860742 Enrollment ID: I20090901000346 |
| Provider Name | Margaret Trapasso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427069269 PECOS PAC ID: 4789708322 Enrollment ID: I20100902000776 |
| Provider Name | Michele R Luzzi Muzyka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518160514 PECOS PAC ID: 9931388196 Enrollment ID: I20110120000807 |
| Provider Name | Suman Baddam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558599415 PECOS PAC ID: 4284956319 Enrollment ID: I20141201000878 |
| Provider Name | Julie S Hurley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1891734216 PECOS PAC ID: 1456385947 Enrollment ID: I20150720002638 |
| Provider Name | Pamela Davies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043631898 PECOS PAC ID: 8729398672 Enrollment ID: I20151105002105 |
| Provider Name | Andy A Beltran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093192031 PECOS PAC ID: 5799022323 Enrollment ID: I20190701001404 |
| Provider Name | Stephanie Storme Albright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427711084 PECOS PAC ID: 1153714860 Enrollment ID: I20220201002264 |
| Provider Name | Sarah Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811279227 PECOS PAC ID: 7012388457 Enrollment ID: I20230124000508 |
| Provider Name | Carrie Kline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114687472 PECOS PAC ID: 9830560879 Enrollment ID: I20230130001286 |
| Provider Name | Tatiana Trujillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811468994 PECOS PAC ID: 4688045651 Enrollment ID: I20230130002627 |
| Provider Name | Karen Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770506008 PECOS PAC ID: 6305211467 Enrollment ID: I20230404001085 |
| Provider Name | Daniel Romano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538786827 PECOS PAC ID: 9638526395 Enrollment ID: I20240201000767 |
| Provider Name | Renee Norkawich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164613048 PECOS PAC ID: 3678918174 Enrollment ID: I20240223002296 |
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