| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 405 Main Street, Danbury, Connecticut |
| Authorized Official Name and Position | Terri Fogg Donovan (BILLING LIASON) |
| Authorized Official Contact | 6085359922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
405 Main Street Danbury CT 06810 Ph: (203) 743-4412 | 405 Main Street Danbury CT 06810 Ph: (203) 743-4412 |
| NPI Number | 1205050606 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Medicare PECOS PAC ID | 8527955970 |
|---|---|
| Medicare Enrollment ID | O20040302000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205050606 | NPI | - | NPPES |
| 004040655 | Medicaid | CT |
| Provider Name | Mikhail L Magid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528132685 PECOS PAC ID: 7719874064 Enrollment ID: I20040302000138 |
| Provider Name | Susan Ouellette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720164320 PECOS PAC ID: 4880611458 Enrollment ID: I20081209000740 |
| Provider Name | Diana Stancov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629029764 PECOS PAC ID: 1456331917 Enrollment ID: I20090129000380 |
| Provider Name | Maryellen Z Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063564524 PECOS PAC ID: 3072655570 Enrollment ID: I20100121000618 |
| Provider Name | Ellen Villasenor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538225107 PECOS PAC ID: 4587610738 Enrollment ID: I20110409000016 |
| Provider Name | Sol Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700082724 PECOS PAC ID: 8921198755 Enrollment ID: I20110413000017 |
| Provider Name | Charles J Coretto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124145727 PECOS PAC ID: 0840512075 Enrollment ID: I20141125001282 |
| Provider Name | Susan J Helwig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487041414 PECOS PAC ID: 8921315359 Enrollment ID: I20150917002311 |
| Provider Name | Mona C Daye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619140316 PECOS PAC ID: 3072640085 Enrollment ID: I20161213001304 |
| Provider Name | William Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780247528 PECOS PAC ID: 4880023191 Enrollment ID: I20200408002093 |
| Provider Name | Anna Frances Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003432139 PECOS PAC ID: 9133581309 Enrollment ID: I20230821000691 |
| Provider Name | Allison Franz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871012419 PECOS PAC ID: 8921540865 Enrollment ID: I20240607000345 |
| Provider Name | Yvonne Mora |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316562622 PECOS PAC ID: 6305381708 Enrollment ID: I20240710001242 |
All Together Licensed Behavior Analyst Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 North St, Danbury, CT 06810 Phone: 203-317-9315 | |
Family And Children's Aid Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 West St, Danbury, CT 06810 Phone: 860-387-8256 Fax: 860-482-6153 | |
Connecticut Marriage And Family Therapy Group Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 83 Wooster Hts Ste 125, Danbury, CT 06810 Phone: 718-510-2170 | |
Dops-psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 West St, Danbury, CT 06810 Phone: 203-791-5120 | |
Patricia E. Gordon, Lcsw-r, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 68 Virginia Ave, #7, Danbury, CT 06810 Phone: 203-733-8033 Fax: 203-612-2337 | |
Santha T. Kurien, Md Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 27 Hospital Ave, Suite 304, Danbury, CT 06810 Phone: 203-743-3833 Fax: 203-797-0107 |