| Clifford W. Beers Guidance Clinic Inc | |
|
93 Edwards St New Haven CT 06511-3933 | |
| (203) 772-1270 | |
| (203) 772-0051 |
| Full Name | Clifford W. Beers Guidance Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 93 Edwards St, New Haven, Connecticut |
| Authorized Official Name and Position | Frank Lavelle (DIRECTOR OF PROJECT MANAGEMENT) |
| Authorized Official Contact | 2037721270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clifford W. Beers Guidance Clinic Inc 93 Edwards St New Haven CT 06511-3933 Ph: (203) 772-1270 | Clifford W. Beers Guidance Clinic Inc 93 Edwards St New Haven CT 06511-3933 Ph: (203) 772-1270 |
| NPI Number | 1073526968 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 03/07/2022 |
| Certification Date | 03/07/2022 |
| Medicare PECOS PAC ID | 1951771054 |
|---|---|
| Medicare Enrollment ID | O20230106000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073526968 | NPI | - | NPPES |
| 004039178 | Medicaid | CT |
| Provider Name | Pramila Nathan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366441933 PECOS PAC ID: 2769435114 Enrollment ID: I20071019000024 |
| Provider Name | Kaitlyn Marie Fenner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639504202 PECOS PAC ID: 0042672172 Enrollment ID: I20230821004116 |
| Provider Name | Kathleen M. Pavlik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780833681 PECOS PAC ID: 6800246463 Enrollment ID: I20231221002715 |
| Provider Name | Lauren Weibrecht |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043471790 PECOS PAC ID: 3476904558 Enrollment ID: I20240112003492 |
| Provider Name | Julianne Cioffi-smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174776363 PECOS PAC ID: 0840633798 Enrollment ID: I20240207002091 |
| Provider Name | Carly Trask-kuchta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801275334 PECOS PAC ID: 6901240563 Enrollment ID: I20240222000999 |
| Provider Name | Yvannie Barreiro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508583873 PECOS PAC ID: 0244675841 Enrollment ID: I20240305000495 |
| Provider Name | Sarah Casolo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487148961 PECOS PAC ID: 8820434210 Enrollment ID: I20240307002110 |
| Provider Name | Leeora Netter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750053377 PECOS PAC ID: 6507202884 Enrollment ID: I20240308001395 |
| Provider Name | Courtney Ann Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730824681 PECOS PAC ID: 0042656274 Enrollment ID: I20240311002624 |
| Provider Name | Cecilia Bates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265004501 PECOS PAC ID: 1355788597 Enrollment ID: I20240322002081 |
| Provider Name | Martha Lucia Plazas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396948881 PECOS PAC ID: 1557709979 Enrollment ID: I20240404002001 |
| Provider Name | Vianette Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023426871 PECOS PAC ID: 3072953314 Enrollment ID: I20240502003451 |
| Provider Name | Sasha Rachel Flavell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568114031 PECOS PAC ID: 4385084631 Enrollment ID: I20240502003759 |
| Provider Name | Ebony Asha Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750844635 PECOS PAC ID: 4981044286 Enrollment ID: I20240503001666 |
| Provider Name | Julia Anne Redman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467708289 PECOS PAC ID: 6204277130 Enrollment ID: I20240509002435 |
| Provider Name | Jennifer Lee Stanger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164133617 PECOS PAC ID: 2466893102 Enrollment ID: I20240513003725 |
| Provider Name | Rickeeta Dufour |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528631579 PECOS PAC ID: 8224479670 Enrollment ID: I20240516000165 |
| Provider Name | Rachel E Aloi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659714749 PECOS PAC ID: 5991146276 Enrollment ID: I20240517001035 |
| Provider Name | Paul E. Breton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649466228 PECOS PAC ID: 1052753589 Enrollment ID: I20240529001772 |
| Provider Name | Victoria Marie Ortiz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275092017 PECOS PAC ID: 7719429885 Enrollment ID: I20240604002314 |
| Provider Name | Francis A Fisco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407475817 PECOS PAC ID: 7012459928 Enrollment ID: I20240606003523 |
| Provider Name | Patricia Jewell Chepel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669627196 PECOS PAC ID: 2668914177 Enrollment ID: I20240611003427 |
Clifford Beers Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 93 Edwards St, New Haven, CT 06511 Phone: 203-772-1270 | |
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Lacuna Autism Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 139 Orange St, New Haven, CT 06510 Phone: 888-611-0870 Fax: 888-714-4996 | |
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