| Central Connecticut Behavioral Health Llc | |
|
2275 Silas Deane Hwy Rocky Hill CT 06067-2329 | |
| (860) 736-4139 | |
| Not Available |
| Full Name | Central Connecticut Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2275 Silas Deane Hwy, Rocky Hill, Connecticut |
| Authorized Official Name and Position | Richard Frank Comshaw (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8607364139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Connecticut Behavioral Health Llc 238 Congdon St E Middletown CT 06457-2063 Ph: (860) 736-4139 | Central Connecticut Behavioral Health Llc 2275 Silas Deane Hwy Rocky Hill CT 06067-2329 Ph: (860) 736-4139 |
| NPI Number | 1043666480 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Medicare PECOS PAC ID | 1951692706 |
|---|---|
| Medicare Enrollment ID | O20160624001721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043666480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 040063 (Connecticut) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0001702 (Connecticut) | Secondary |
| Provider Name | Mohammad Dada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457307043 PECOS PAC ID: 0042203051 Enrollment ID: I20051010000478 |
| Provider Name | Thuraya A Abdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124272950 PECOS PAC ID: 0143381376 Enrollment ID: I20081206000082 |
| Provider Name | Richard Frank Comshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639116957 PECOS PAC ID: 9335205194 Enrollment ID: I20090303000018 |
| Provider Name | Juleen Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700284106 PECOS PAC ID: 4183940133 Enrollment ID: I20150310000931 |
| Provider Name | Mary Patricia Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407254733 PECOS PAC ID: 0345595468 Enrollment ID: I20180613002638 |
| Provider Name | Lynda S. Emard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942897038 PECOS PAC ID: 0042754731 Enrollment ID: I20240705001721 |
| Provider Name | Jewel Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811679160 PECOS PAC ID: 3476099532 Enrollment ID: I20240724004305 |
Michelle M Nitto, Psy.d. Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 750 Old Main St, Suite 306, Rocky Hill, CT 06067 Phone: 860-524-7538 | |
Nicole Castiglioni Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2264 Silas Deane Hwy, Suite 300, Rocky Hill, CT 06067 Phone: 860-301-0196 | |
Concert Health Behavioral Health Services Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Capital Blvd., Suite 402, Rocky Hill, CT 06067 Phone: 844-900-0028 | |
Clarity Within Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Capital Blvd Ste 402, Rocky Hill, CT 06067 Phone: 860-245-1242 | |
Creative Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Rhodes Rd, Rocky Hill, CT 06067 Phone: 860-257-1865 Fax: 860-257-1865 | |
John Kurkjian, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Old Main St, Suite 306, Rocky Hill, CT 06067 Phone: 860-529-8432 Fax: 860-529-3461 |