| Challenging Minds Llc | |
|
30 Peck Rd Ste 1103b Torrington CT 06790-6123 | |
| (860) 385-2867 | |
| Not Available |
| Full Name | Challenging Minds Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 30 Peck Rd Ste 1103b, Torrington, Connecticut |
| Authorized Official Name and Position | Andrew Matusiak (OWNER/CEO) |
| Authorized Official Contact | 8603852867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Challenging Minds Llc 143 Pine Hill Rd Unit 17a Thomaston CT 06787-1951 Ph: (860) 921-8909 | Challenging Minds Llc 30 Peck Rd Ste 1103b Torrington CT 06790-6123 Ph: (860) 385-2867 |
| NPI Number | 1730745316 |
|---|---|
| Provider Enumeration Date | 05/19/2019 |
| Last Update Date | 05/21/2019 |
| Medicare PECOS PAC ID | 9830429794 |
|---|---|
| Medicare Enrollment ID | O20201007002569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730745316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Jean M Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972780005 PECOS PAC ID: 6709058506 Enrollment ID: I20111019000787 |
| Provider Name | Andrew James Matusiak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801331640 PECOS PAC ID: 9638419542 Enrollment ID: I20190312002536 |
| Provider Name | Edward M. Bacigalupo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184633588 PECOS PAC ID: 2264789940 Enrollment ID: I20191219002622 |
| Provider Name | Diane S. Ack-mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114674512 PECOS PAC ID: 0446697700 Enrollment ID: I20240321002707 |
| Provider Name | Skylar Sandel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215449632 PECOS PAC ID: 2860832441 Enrollment ID: I20240430001365 |
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