| Catholic Charities Inc - Archdiocese Of Hartford | |
|
45 Wadsworth St. Hartford CT 06106 | |
| (860) 527-1124 | |
| (860) 724-2539 |
| Full Name | Catholic Charities Inc - Archdiocese Of Hartford |
|---|---|
| Speciality | Clinic/Center |
| Location | 45 Wadsworth St., Hartford, Connecticut |
| Authorized Official Name and Position | Rose Alma Senatore (CEO) |
| Authorized Official Contact | 8604931841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Inc - Archdiocese Of Hartford 839 Asylum Ave Hartford CT 06105-2801 Ph: (860) 493-1841 | Catholic Charities Inc - Archdiocese Of Hartford 45 Wadsworth St. Hartford CT 06106 Ph: (860) 527-1124 |
| NPI Number | 1245324516 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 06/18/2008 |
| Medicare PECOS PAC ID | 2567367469 |
|---|---|
| Medicare Enrollment ID | O20040521000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245324516 | NPI | - | NPPES |
| 004172318 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | John M De Figueiredo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942271739 PECOS PAC ID: 8123915758 Enrollment ID: I20040301000040 |
| Provider Name | Rolando T Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649288390 PECOS PAC ID: 0042284663 Enrollment ID: I20040820000375 |
| Provider Name | Arturo E Morales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366477812 PECOS PAC ID: 7719991397 Enrollment ID: I20060202000867 |
| Provider Name | Jane E Clark |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1639262579 PECOS PAC ID: 7214969302 Enrollment ID: I20070212000381 |
| Provider Name | Gina Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114110160 PECOS PAC ID: 3577656503 Enrollment ID: I20070907000404 |
| Provider Name | Peter G Sandwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720294200 PECOS PAC ID: 9638266745 Enrollment ID: I20071106000220 |
| Provider Name | Mary Ann Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578794053 PECOS PAC ID: 3476681461 Enrollment ID: I20100512000766 |
| Provider Name | Lisa C Diamond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184710550 PECOS PAC ID: 6800924663 Enrollment ID: I20100514000692 |
| Provider Name | Eileen C Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538200688 PECOS PAC ID: 5597991463 Enrollment ID: I20131125000200 |
| Provider Name | Monica Ann Starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770868085 PECOS PAC ID: 5698906022 Enrollment ID: I20140815001393 |
| Provider Name | Ramesh K Hemnani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821292392 PECOS PAC ID: 3779805437 Enrollment ID: I20141208001434 |
| Provider Name | Bellamkonda S Raghu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922050012 PECOS PAC ID: 8628026481 Enrollment ID: I20150826000623 |
| Provider Name | Marylliam Gagne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427430503 PECOS PAC ID: 0749597623 Enrollment ID: I20150910001325 |
| Provider Name | Luz E. Valentin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043583735 PECOS PAC ID: 6002075660 Enrollment ID: I20160318000922 |
| Provider Name | Jennifer M Schnapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508114109 PECOS PAC ID: 9931408762 Enrollment ID: I20160429000835 |
| Provider Name | Annette O'neill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942681820 PECOS PAC ID: 6709142789 Enrollment ID: I20171107002552 |
| Provider Name | Waqar Ahmad Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396030631 PECOS PAC ID: 0840509931 Enrollment ID: I20180105000252 |
| Provider Name | Janice Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548822000 PECOS PAC ID: 4284060526 Enrollment ID: I20200205002681 |
| Provider Name | Martell M Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982142808 PECOS PAC ID: 1254746027 Enrollment ID: I20210209002736 |
| Provider Name | Maria D Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821575929 PECOS PAC ID: 6204239031 Enrollment ID: I20210730001178 |
| Provider Name | Jannett Campos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982913695 PECOS PAC ID: 0547664377 Enrollment ID: I20210802001303 |
| Provider Name | Sherly Boulay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851766737 PECOS PAC ID: 0547648180 Enrollment ID: I20220609001887 |
| Provider Name | Kimberly Bronson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790132488 PECOS PAC ID: 3476996505 Enrollment ID: I20240206002386 |
| Provider Name | Sandra Lerzundy-price |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417593062 PECOS PAC ID: 9032553656 Enrollment ID: I20240221004206 |
| Provider Name | Melissa Gaudet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083153670 PECOS PAC ID: 6103261615 Enrollment ID: I20240223002763 |
| Provider Name | Wilma Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801362389 PECOS PAC ID: 8325481906 Enrollment ID: I20240322004126 |
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