| Cadtc Partners Llp | |
|
1031 Farmington Ave Farmington CT 06032 | |
| (860) 677-2550 | |
| (860) 677-4975 |
| Full Name | Cadtc Partners Llp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1031 Farmington Ave, Farmington, Connecticut |
| Authorized Official Name and Position | Neil R Liebowitz (MEDICAL DIRECTOR PARTNER) |
| Authorized Official Contact | 8606772550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cadtc Partners Llp 1031 Farmington Ave Farmington CT 06032 Ph: (860) 677-2550 | Cadtc Partners Llp 1031 Farmington Ave Farmington CT 06032 Ph: (860) 677-2550 |
| NPI Number | 1821020645 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 12/17/2007 |
| Medicare PECOS PAC ID | 5294824439 |
|---|---|
| Medicare Enrollment ID | O20071211000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821020645 | NPI | - | NPPES |
| 50CADTCLPCT01 | Other | CT | ANTHEM BC |
| 169896 | Other | CT | MHN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Judith Leichtberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003875758 PECOS PAC ID: 5597652982 Enrollment ID: I20040301001051 |
| Provider Name | Mark W Jay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982663647 PECOS PAC ID: 9234159716 Enrollment ID: I20051129000630 |
| Provider Name | Jennifer F Mowry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316030117 PECOS PAC ID: 9638176399 Enrollment ID: I20061023000459 |
| Provider Name | Heather Lee Spear |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1770542524 PECOS PAC ID: 9436157583 Enrollment ID: I20061128000108 |
| Provider Name | Jose R Santos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275593550 PECOS PAC ID: 0244329415 Enrollment ID: I20071211000558 |
| Provider Name | Neil Liebowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609835362 PECOS PAC ID: 1658353669 Enrollment ID: I20071212000171 |
| Provider Name | Linda Berger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366402646 PECOS PAC ID: 4981794112 Enrollment ID: I20071212000244 |
| Provider Name | Ila S Sabino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841342037 PECOS PAC ID: 9234223835 Enrollment ID: I20141210001735 |
| Provider Name | Donna M Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447526827 PECOS PAC ID: 8123284049 Enrollment ID: I20150921001475 |
| Provider Name | Janina J Kean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821447053 PECOS PAC ID: 2264727577 Enrollment ID: I20160825002429 |
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