| Community Health Center Inc | |
|
675 Main St Middletown CT 06457-2718 | |
| (860) 347-6971 | |
| (860) 343-7379 |
| Full Name | Community Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 675 Main St, Middletown, Connecticut |
| Authorized Official Name and Position | Bain Patrie (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8603476971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Inc 575 Main St Fl 2 Attn: Credentialing Dept Middletown CT 06457-2845 Ph: (860) 347-6971 | Community Health Center Inc 675 Main St Middletown CT 06457-2718 Ph: (860) 347-6971 |
| NPI Number | 1952591851 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 05/21/2012 |
| Medicare PECOS PAC ID | 0547169138 |
|---|---|
| Medicare Enrollment ID | O20040102000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952591851 | NPI | - | NPPES |
| 004236354 | Medicaid | CT | |
| 004236346 | Medicaid | CT | |
| 004236338 | Medicaid | CT |
| Provider Name | Andrew Yim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902874530 PECOS PAC ID: 3870498611 Enrollment ID: I20031204000434 |
| Provider Name | Jacqueline Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548477433 PECOS PAC ID: 7315936382 Enrollment ID: I20040506001427 |
| 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 | Victor Tirado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609855592 PECOS PAC ID: 4082665294 Enrollment ID: I20050204000538 |
| Provider Name | Mary Blankson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972587582 PECOS PAC ID: 9739101486 Enrollment ID: I20051222000424 |
| Provider Name | Michele G Roy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811963754 PECOS PAC ID: 9436171923 Enrollment ID: I20051227000616 |
| Provider Name | Marwan Haddad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427013028 PECOS PAC ID: 5698788594 Enrollment ID: I20060719000046 |
| Provider Name | Ovanes Borgonos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952491219 PECOS PAC ID: 1254437460 Enrollment ID: I20070504000361 |
| Provider Name | Maureen Pickup |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033187539 PECOS PAC ID: 3577662014 Enrollment ID: I20070623000050 |
| Provider Name | Rachel Swanson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972793123 PECOS PAC ID: 0244324440 Enrollment ID: I20070919000390 |
| Provider Name | Alan Farb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013939867 PECOS PAC ID: 1658465737 Enrollment ID: I20070920000057 |
| Provider Name | Meghan O'connor Constantino |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932253986 PECOS PAC ID: 0547355745 Enrollment ID: I20071003000334 |
| Provider Name | David Melman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508056474 PECOS PAC ID: 1456448349 Enrollment ID: I20071024000322 |
| Provider Name | Jean M Palin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396741435 PECOS PAC ID: 5597854448 Enrollment ID: I20071130000224 |
| Provider Name | Anandhi S Baleswaren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346246444 PECOS PAC ID: 8820173826 Enrollment ID: I20080317000031 |
| Provider Name | Stacy Hankey Mangini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568631786 PECOS PAC ID: 4789753401 Enrollment ID: I20080521000583 |
| Provider Name | Rachel Demarco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174719884 PECOS PAC ID: 5395816698 Enrollment ID: I20080613000275 |
| Provider Name | Gabriella Gellrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477715670 PECOS PAC ID: 9739256744 Enrollment ID: I20080917000203 |
| Provider Name | Elizabeth Lynn Dmowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366601064 PECOS PAC ID: 5991866279 Enrollment ID: I20081204000689 |
| Provider Name | Ivelisse Rivera Godreau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407881626 PECOS PAC ID: 7416955695 Enrollment ID: I20081208000200 |
| Provider Name | Amber L Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487803649 PECOS PAC ID: 3678637816 Enrollment ID: I20090203000067 |
| Provider Name | Stephen R Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396862686 PECOS PAC ID: 5698832293 Enrollment ID: I20090326000210 |
| Provider Name | Ann M Asunto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073747788 PECOS PAC ID: 7618022401 Enrollment ID: I20090831000374 |
| Provider Name | Donna Olivieri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487885893 PECOS PAC ID: 1254486640 Enrollment ID: I20090909000238 |
| Provider Name | Lynn Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093960478 PECOS PAC ID: 2062568652 Enrollment ID: I20090923000561 |
| Provider Name | Michelle S Gauthier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588895783 PECOS PAC ID: 4385783240 Enrollment ID: I20091207000032 |
| Provider Name | Elzbieta L Piekarz-dyjak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598864217 PECOS PAC ID: 7618055575 Enrollment ID: I20100519000008 |
| Provider Name | Tara Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861719643 PECOS PAC ID: 1355472168 Enrollment ID: I20100623000134 |
| Provider Name | Robert Dudley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710983937 PECOS PAC ID: 7810177656 Enrollment ID: I20110210000536 |
| Provider Name | Carl Lecce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477550523 PECOS PAC ID: 2466632138 Enrollment ID: I20110212000013 |
| Provider Name | Matthew Huddleston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063418218 PECOS PAC ID: 9638359300 Enrollment ID: I20110212000021 |
| Provider Name | Angela Matera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609053800 PECOS PAC ID: 6901086420 Enrollment ID: I20110215000724 |
| Provider Name | John Monroe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508863226 PECOS PAC ID: 1355526781 Enrollment ID: I20110429000362 |
| Provider Name | Jennifer Burns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144483355 PECOS PAC ID: 7719162874 Enrollment ID: I20110505000108 |
| Provider Name | Kerian V Service |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598925612 PECOS PAC ID: 8820262694 Enrollment ID: I20111114000770 |
| Provider Name | Vivien A Iloeje |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003878778 PECOS PAC ID: 3870769755 Enrollment ID: I20111223000095 |
| Provider Name | Amma Darko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568710192 PECOS PAC ID: 0749426807 Enrollment ID: I20130415000426 |
| Provider Name | Alison D Sturm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316025661 PECOS PAC ID: 2062685381 Enrollment ID: I20130621000002 |
| Provider Name | Charles H Melvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356406847 PECOS PAC ID: 2264533561 Enrollment ID: I20130813000688 |
| Provider Name | Laura J Crandall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134340151 PECOS PAC ID: 0042366841 Enrollment ID: I20130819000228 |
| Provider Name | Larissa M Camano Selca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700128659 PECOS PAC ID: 7810139003 Enrollment ID: I20130819000482 |
| Provider Name | Deirdre A Brannin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235561457 PECOS PAC ID: 3476797549 Enrollment ID: I20130912000184 |
| Provider Name | Melissa Amicone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831474394 PECOS PAC ID: 9638308489 Enrollment ID: I20140128000355 |
| Provider Name | Maria Victoria Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336453174 PECOS PAC ID: 6103057617 Enrollment ID: I20140326002032 |
| Provider Name | Anna Faria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861709669 PECOS PAC ID: 7214253863 Enrollment ID: I20150226000831 |
| Provider Name | Andy Casimir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306979752 PECOS PAC ID: 2264520121 Enrollment ID: I20150921000471 |
| Provider Name | Samantha L Nilsson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023314796 PECOS PAC ID: 2264740372 Enrollment ID: I20151008002044 |
| Provider Name | Andrea Buglione-corbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902351299 PECOS PAC ID: 4880982636 Enrollment ID: I20161011000168 |
| Provider Name | Marissa Bayerl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972958429 PECOS PAC ID: 0749568004 Enrollment ID: I20161021000288 |
| Provider Name | Kathryn A Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255627899 PECOS PAC ID: 7416221346 Enrollment ID: I20170915002539 |
| Provider Name | Jennifer Corridon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629483656 PECOS PAC ID: 7315241759 Enrollment ID: I20171031000900 |
| Provider Name | Glorimar Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417469446 PECOS PAC ID: 4789939497 Enrollment ID: I20180621000754 |
| Provider Name | Darlene V White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053787465 PECOS PAC ID: 2365793320 Enrollment ID: I20181002000151 |
| Provider Name | Erin Michele Zaffis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225507361 PECOS PAC ID: 3476899923 Enrollment ID: I20190104000755 |
| Provider Name | Victoria Leone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669971982 PECOS PAC ID: 9739425802 Enrollment ID: I20190110000330 |
| Provider Name | Amy Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164946349 PECOS PAC ID: 2264770197 Enrollment ID: I20190219000304 |
| Provider Name | Kishore Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760769095 PECOS PAC ID: 1951623925 Enrollment ID: I20190306001804 |
| Provider Name | Katherine Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447642624 PECOS PAC ID: 8022337740 Enrollment ID: I20190306002936 |
| Provider Name | Beth Finn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912463662 PECOS PAC ID: 7517296304 Enrollment ID: I20190903003137 |
| Provider Name | Ashley Bruckenthal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295281178 PECOS PAC ID: 3375874001 Enrollment ID: I20191011000111 |
| Provider Name | Meghan Chafee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417500208 PECOS PAC ID: 9537594379 Enrollment ID: I20200124000198 |
| Provider Name | Eileen Mary Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194913210 PECOS PAC ID: 8729403589 Enrollment ID: I20200811000464 |
| Provider Name | Ashley Modugno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558973610 PECOS PAC ID: 5092125773 Enrollment ID: I20201109001600 |
| Provider Name | Chelsea Lynn Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902475874 PECOS PAC ID: 8729481049 Enrollment ID: I20210724000003 |
| Provider Name | Amanda Calhoun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992360903 PECOS PAC ID: 2466780853 Enrollment ID: I20210920000161 |
| Provider Name | Hyun S Kim |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144617242 PECOS PAC ID: 1355731795 Enrollment ID: I20211129002566 |
| Provider Name | Katherine Velez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598435364 PECOS PAC ID: 3678964459 Enrollment ID: I20220105002009 |
| Provider Name | Maggie Marie Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982266995 PECOS PAC ID: 4486031366 Enrollment ID: I20220516000082 |
| Provider Name | Shamilia Gomez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174984819 PECOS PAC ID: 6103205083 Enrollment ID: I20220623001306 |
| Provider Name | Lydia Limiero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386116044 PECOS PAC ID: 6305221987 Enrollment ID: I20220919000353 |
| Provider Name | Barbara Noemi Trejo Ortega |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467089326 PECOS PAC ID: 2365830569 Enrollment ID: I20220921000824 |
| Provider Name | Victoria Flowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770210585 PECOS PAC ID: 8325414345 Enrollment ID: I20221017001968 |
| Provider Name | Elizabeth Bird |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598834152 PECOS PAC ID: 6305948142 Enrollment ID: I20230130002134 |
| Provider Name | Dorothy Jessica Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265023071 PECOS PAC ID: 6103299250 Enrollment ID: I20230310001159 |
| Provider Name | Lesly Valbrun |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306364377 PECOS PAC ID: 4880049345 Enrollment ID: I20231018003177 |
| Provider Name | Denise E Groothuis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114419256 PECOS PAC ID: 6901252311 Enrollment ID: I20231020002032 |
| Provider Name | Julia Tarbox |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164207833 PECOS PAC ID: 1254787690 Enrollment ID: I20231021000531 |
| Provider Name | Aric Johnathon Frisina-deyo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346800950 PECOS PAC ID: 0749637932 Enrollment ID: I20231109001183 |
| Provider Name | Thandi Walters |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366050528 PECOS PAC ID: 7618391780 Enrollment ID: I20231204002742 |
| Provider Name | Kaosoluchi Enendu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184204695 PECOS PAC ID: 5092104802 Enrollment ID: I20231207000827 |
| Provider Name | Courtney Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821795295 PECOS PAC ID: 1153770821 Enrollment ID: I20231207001448 |
| Provider Name | Bradley Rhatigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881289791 PECOS PAC ID: 1355759150 Enrollment ID: I20231212002377 |
| Provider Name | Holly Montpelier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093323818 PECOS PAC ID: 8628427804 Enrollment ID: I20231213001967 |
| Provider Name | Matthew Thompson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366955288 PECOS PAC ID: 6608133715 Enrollment ID: I20231218000360 |
| Provider Name | Daniel J Bryant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629301726 PECOS PAC ID: 9931556024 Enrollment ID: I20231227000954 |
| Provider Name | Grace Harrington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831423920 PECOS PAC ID: 4486001575 Enrollment ID: I20231227001346 |
| Provider Name | Shari Faye Fanelli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689948887 PECOS PAC ID: 7214384304 Enrollment ID: I20231227001636 |
| Provider Name | Alexei Kasanzew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689068520 PECOS PAC ID: 6103280003 Enrollment ID: I20231227001864 |
| Provider Name | Dorothy Hiralien |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245823509 PECOS PAC ID: 1355798422 Enrollment ID: I20231227002564 |
| Provider Name | Amarilis Lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932865573 PECOS PAC ID: 8729435813 Enrollment ID: I20231227002745 |
| Provider Name | Madeline Mantilla |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184004335 PECOS PAC ID: 7315395068 Enrollment ID: I20231227003176 |
| Provider Name | Tonya Shand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427313097 PECOS PAC ID: 0648588319 Enrollment ID: I20240108005608 |
| Provider Name | Mary Braisted |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831846203 PECOS PAC ID: 7517318850 Enrollment ID: I20240110004610 |
| Provider Name | Amanda Fontaine-iskra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295509420 PECOS PAC ID: 8426407974 Enrollment ID: I20240122002769 |
| Provider Name | Jessica Ahern |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942986393 PECOS PAC ID: 6608224472 Enrollment ID: I20240122002913 |
| Provider Name | Nicole Lapointe Celone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801442538 PECOS PAC ID: 9931556982 Enrollment ID: I20240122003924 |
| Provider Name | Carolnette Arbouine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992487482 PECOS PAC ID: 1951758804 Enrollment ID: I20240123000346 |
| Provider Name | Courtney Marie Duff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811777642 PECOS PAC ID: 6507213543 Enrollment ID: I20240123000427 |
| Provider Name | Bryttany Cunningham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114614724 PECOS PAC ID: 7315399672 Enrollment ID: I20240123001014 |
| Provider Name | Janankia Andrea Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942818380 PECOS PAC ID: 8325496136 Enrollment ID: I20240123002012 |
| Provider Name | Heidy Ilucion Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598493892 PECOS PAC ID: 1951753102 Enrollment ID: I20240123004443 |
| Provider Name | Runa Khanom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114510609 PECOS PAC ID: 6204289440 Enrollment ID: I20240124002407 |
| Provider Name | Vanessa Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336578384 PECOS PAC ID: 5799138962 Enrollment ID: I20240124003435 |
| Provider Name | Noreen Alicia Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912778820 PECOS PAC ID: 0749633790 Enrollment ID: I20240126000637 |
| Provider Name | Diane Tarricone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942332168 PECOS PAC ID: 9234582107 Enrollment ID: I20240126001624 |
| Provider Name | Jacqueline Huang Ly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780318048 PECOS PAC ID: 7810373594 Enrollment ID: I20240129003605 |
| Provider Name | Princess Doris Dakpui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043793565 PECOS PAC ID: 8426491606 Enrollment ID: I20240205001436 |
| Provider Name | Faith B Fuller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083620926 PECOS PAC ID: 2466801857 Enrollment ID: I20240206000952 |
| Provider Name | Amanda Papa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073238028 PECOS PAC ID: 5496198533 Enrollment ID: I20240206002703 |
| Provider Name | Catarina Lally |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154708857 PECOS PAC ID: 2668815721 Enrollment ID: I20240206003531 |
| Provider Name | Jodi Anderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912436361 PECOS PAC ID: 3173966793 Enrollment ID: I20240209002641 |
| Provider Name | Laura Galindo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528325289 PECOS PAC ID: 5799128377 Enrollment ID: I20240212000261 |
| Provider Name | Jennifer Sers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992366215 PECOS PAC ID: 3870927049 Enrollment ID: I20240213002141 |
| Provider Name | Sobia Aamir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245998475 PECOS PAC ID: 7719321827 Enrollment ID: I20240216001875 |
| Provider Name | Susana Kataka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457470148 PECOS PAC ID: 4981641735 Enrollment ID: I20240216002880 |
| Provider Name | Aiesha Phelmetto |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942720438 PECOS PAC ID: 8224473525 Enrollment ID: I20240227000362 |
| Provider Name | Warren C. Johnson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1154424588 PECOS PAC ID: 3375988611 Enrollment ID: I20240227001725 |
| Provider Name | Jaime Baumann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992569214 PECOS PAC ID: 1850736059 Enrollment ID: I20240227004459 |
| Provider Name | Olivia Simon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770031924 PECOS PAC ID: 5193160059 Enrollment ID: I20240301000089 |
| Provider Name | Elaine Woodford Lang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508621376 PECOS PAC ID: 1355786211 Enrollment ID: I20240301000134 |
| Provider Name | Janet A. Noyes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700930211 PECOS PAC ID: 3779928445 Enrollment ID: I20240304003234 |
| Provider Name | Michael Eisenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417476482 PECOS PAC ID: 4688010887 Enrollment ID: I20240311001763 |
| Provider Name | Cierra Ponzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740041045 PECOS PAC ID: 2860838075 Enrollment ID: I20240311001803 |
| Provider Name | Emily Bittner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942934013 PECOS PAC ID: 5698158012 Enrollment ID: I20240311002079 |
| Provider Name | Theresa Grace Boothby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053840389 PECOS PAC ID: 6305103342 Enrollment ID: I20240312001755 |
| Provider Name | Danielle Casazza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326771874 PECOS PAC ID: 5890125561 Enrollment ID: I20240312002333 |
| Provider Name | Lauren E Pelletier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609218908 PECOS PAC ID: 1153767132 Enrollment ID: I20240313000563 |
| Provider Name | Christina Corporon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841662905 PECOS PAC ID: 4486929239 Enrollment ID: I20240313000849 |
| Provider Name | Elizabeth Anders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417623612 PECOS PAC ID: 4284031303 Enrollment ID: I20240313001109 |
| Provider Name | Laina Jean Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104479583 PECOS PAC ID: 6305176041 Enrollment ID: I20240315002280 |
| Provider Name | Lauren J Cotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942819826 PECOS PAC ID: 8628454386 Enrollment ID: I20240315002404 |
| Provider Name | Leonora O'farrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821534181 PECOS PAC ID: 9335599851 Enrollment ID: I20240318003722 |
| Provider Name | Theresa Darnow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104961119 PECOS PAC ID: 2769829217 Enrollment ID: I20240320002152 |
| Provider Name | Robert J. Herman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1053309047 PECOS PAC ID: 0345687216 Enrollment ID: I20240327002370 |
| Provider Name | Beata Destan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154096691 PECOS PAC ID: 4981042421 Enrollment ID: I20240403002966 |
| Provider Name | Cindy Vollaro Dunaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295249050 PECOS PAC ID: 6002254232 Enrollment ID: I20240405002569 |
| Provider Name | Meredith Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073297024 PECOS PAC ID: 5294197448 Enrollment ID: I20240410000325 |
| Provider Name | Joshua Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922409465 PECOS PAC ID: 1951740752 Enrollment ID: I20240412001747 |
| Provider Name | Corrado Pitari |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710739354 PECOS PAC ID: 0547609281 Enrollment ID: I20240415002586 |
| Provider Name | Jillian Fal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437884087 PECOS PAC ID: 7012391550 Enrollment ID: I20240416001054 |
| Provider Name | Lucy Ehrenfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912570532 PECOS PAC ID: 1456759372 Enrollment ID: I20240416001488 |
| Provider Name | Jennifer L Husman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326557497 PECOS PAC ID: 9537400627 Enrollment ID: I20240418001361 |
| Provider Name | Cecilia Hackerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578295283 PECOS PAC ID: 5991181661 Enrollment ID: I20240418001535 |
| Provider Name | Lewis Gordon Head |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649840406 PECOS PAC ID: 8820493786 Enrollment ID: I20240418001865 |
| Provider Name | Madeline Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154973030 PECOS PAC ID: 3577893924 Enrollment ID: I20240418001985 |
| Provider Name | Margaret Lapointe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417576570 PECOS PAC ID: 6305251919 Enrollment ID: I20240418002278 |
| Provider Name | Brooke French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386639292 PECOS PAC ID: 7517965825 Enrollment ID: I20240418002355 |
| Provider Name | Vanessa Latson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659998581 PECOS PAC ID: 8426469792 Enrollment ID: I20240418002699 |
| Provider Name | Dana Loo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437884095 PECOS PAC ID: 2860878626 Enrollment ID: I20240418002917 |
| Provider Name | Perry Gast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528734639 PECOS PAC ID: 5890192918 Enrollment ID: I20240419001871 |
| Provider Name | Jason Manto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013539188 PECOS PAC ID: 4587083597 Enrollment ID: I20240422000098 |
| Provider Name | Lindsay Marmaras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093206807 PECOS PAC ID: 8022357011 Enrollment ID: I20240422000352 |
| Provider Name | Wallace Hamel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518161306 PECOS PAC ID: 1658462528 Enrollment ID: I20240422000368 |
| Provider Name | Tania J Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679025498 PECOS PAC ID: 1850730052 Enrollment ID: I20240422000619 |
| Provider Name | Sarah E Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164654554 PECOS PAC ID: 4082839972 Enrollment ID: I20240422002188 |
| Provider Name | Lisa Dianis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245505924 PECOS PAC ID: 5092154146 Enrollment ID: I20240422002802 |
| Provider Name | Taylor Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801411582 PECOS PAC ID: 8820437908 Enrollment ID: I20240423000702 |
| Provider Name | Jennifer Dugre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336552934 PECOS PAC ID: 9739528829 Enrollment ID: I20240423001172 |
| Provider Name | Carolyn E Janis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568799625 PECOS PAC ID: 9739529777 Enrollment ID: I20240424003126 |
| Provider Name | Katya Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548432347 PECOS PAC ID: 7810337854 Enrollment ID: I20240424003158 |
| Provider Name | Karen Christine Hykys |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124528070 PECOS PAC ID: 9537509575 Enrollment ID: I20240424003224 |
| Provider Name | Melissa Gelineau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568913135 PECOS PAC ID: 8224478284 Enrollment ID: I20240424003910 |
| Provider Name | Anna Litvinoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487081659 PECOS PAC ID: 8426288481 Enrollment ID: I20240426001151 |
| Provider Name | Kim E Sauter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427384072 PECOS PAC ID: 0547600124 Enrollment ID: I20240430001183 |
| Provider Name | Jennifer Bailey Resnick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093384273 PECOS PAC ID: 8224478805 Enrollment ID: I20240430001347 |
| Provider Name | Kate-lynd Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376911180 PECOS PAC ID: 0941640536 Enrollment ID: I20240430001798 |
| Provider Name | Kerri Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619495447 PECOS PAC ID: 7719327279 Enrollment ID: I20240501000179 |
| Provider Name | Grace Carpenter Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679250054 PECOS PAC ID: 7113371931 Enrollment ID: I20240502000508 |
| Provider Name | Kerri Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962178756 PECOS PAC ID: 9234536350 Enrollment ID: I20240502000538 |
| Provider Name | Megan Ratchford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568652725 PECOS PAC ID: 7315240066 Enrollment ID: I20240502000769 |
| Provider Name | Divjot Minhas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811349079 PECOS PAC ID: 0143509885 Enrollment ID: I20240502000895 |
| Provider Name | Carol Michelle Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699358713 PECOS PAC ID: 2860890746 Enrollment ID: I20240502001133 |
| Provider Name | Uchechi Onyebuchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134805898 PECOS PAC ID: 6002279205 Enrollment ID: I20240502001261 |
| Provider Name | Victoria Rufo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518643154 PECOS PAC ID: 7517312572 Enrollment ID: I20240502003316 |
| Provider Name | Rachel Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063147627 PECOS PAC ID: 0345624847 Enrollment ID: I20240502003380 |
| Provider Name | Seemab Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801318183 PECOS PAC ID: 9436579182 Enrollment ID: I20240503001404 |
| Provider Name | Alanna Sade-milberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871269936 PECOS PAC ID: 5991103806 Enrollment ID: I20240503001611 |
| Provider Name | Drew Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851073332 PECOS PAC ID: 7810341013 Enrollment ID: I20240503001631 |
| Provider Name | Emily Spraggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619658994 PECOS PAC ID: 0547614745 Enrollment ID: I20240503001674 |
| Provider Name | Elena Mari Villar Leeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164983243 PECOS PAC ID: 3476950585 Enrollment ID: I20240503001724 |
| Provider Name | Nicole Seagriff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124313440 PECOS PAC ID: 6103041090 Enrollment ID: I20240503001778 |
| Provider Name | Darienne Moncada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285000794 PECOS PAC ID: 8325488547 Enrollment ID: I20240503002555 |
| Provider Name | Suzanne Mayo Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487200226 PECOS PAC ID: 0840520573 Enrollment ID: I20240504000110 |
| Provider Name | Lori Weckesser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356963128 PECOS PAC ID: 3375962574 Enrollment ID: I20240504000134 |
| Provider Name | Alison White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912563610 PECOS PAC ID: 4587062468 Enrollment ID: I20240504000151 |
| Provider Name | Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437823648 PECOS PAC ID: 6901203033 Enrollment ID: I20240504000169 |
| Provider Name | Jenny Yung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659005742 PECOS PAC ID: 7416333190 Enrollment ID: I20240504000197 |
| Provider Name | Shayla Bernard Partridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922784560 PECOS PAC ID: 6709230071 Enrollment ID: I20240506000067 |
| Provider Name | Corinne Walters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871030247 PECOS PAC ID: 4688014780 Enrollment ID: I20240506001509 |
| Provider Name | Megan Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679978605 PECOS PAC ID: 0840630943 Enrollment ID: I20240506001555 |
| Provider Name | Todd Shvetz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699913525 PECOS PAC ID: 1658711759 Enrollment ID: I20240506001587 |
| Provider Name | Rose-ann Wanczyk-karp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407852569 PECOS PAC ID: 0547600652 Enrollment ID: I20240506001749 |
| Provider Name | Eileen Ann Adler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265955272 PECOS PAC ID: 3072953181 Enrollment ID: I20240506001843 |
| Provider Name | Mikveh Warshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417484122 PECOS PAC ID: 9234591322 Enrollment ID: I20240506003157 |
| Provider Name | Kimberly Ann Sheren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053611152 PECOS PAC ID: 1951741073 Enrollment ID: I20240506003492 |
| Provider Name | Karla J Mowdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649904665 PECOS PAC ID: 9739565409 Enrollment ID: I20240507000306 |
| Provider Name | Jessica Welt-betensky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245473503 PECOS PAC ID: 6800237835 Enrollment ID: I20240508002687 |
| Provider Name | Catherine Savvides |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336652304 PECOS PAC ID: 7315388287 Enrollment ID: I20240509000273 |
| Provider Name | Julia Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154007698 PECOS PAC ID: 7416302732 Enrollment ID: I20240510001158 |
| Provider Name | Rebekah Mabrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417681594 PECOS PAC ID: 8022494541 Enrollment ID: I20240513000200 |
| Provider Name | Leigh Forte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932502101 PECOS PAC ID: 2567803109 Enrollment ID: I20240514000306 |
| Provider Name | Garrett Matlick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134600232 PECOS PAC ID: 6406181072 Enrollment ID: I20240514003350 |
| Provider Name | Angela R Vath |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467698878 PECOS PAC ID: 2961843354 Enrollment ID: I20240516001434 |
| Provider Name | Wendy Hoyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386184950 PECOS PAC ID: 8426490699 Enrollment ID: I20240521000430 |
| Provider Name | Victoria Foote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285310730 PECOS PAC ID: 7911369160 Enrollment ID: I20240521001008 |
| Provider Name | Kelly Elise Fosnocht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821513052 PECOS PAC ID: 5799015426 Enrollment ID: I20240521001800 |
| Provider Name | Yesu Matta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851648471 PECOS PAC ID: 4183939895 Enrollment ID: I20240601000184 |
| Provider Name | Jeannie Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063967867 PECOS PAC ID: 8426334558 Enrollment ID: I20240601000217 |
| Provider Name | Mattea Anne Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487099891 PECOS PAC ID: 8123267861 Enrollment ID: I20240603000345 |
| Provider Name | Vanessa J Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154814812 PECOS PAC ID: 5395287668 Enrollment ID: I20240603002164 |
| Provider Name | Eveline Gwaabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659813483 PECOS PAC ID: 2264816826 Enrollment ID: I20240605001227 |
| Provider Name | Ashleigh K Melchionno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184365850 PECOS PAC ID: 4183166572 Enrollment ID: I20240613001210 |
One Piece Of The Puzzle, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Smith St, Suite L, Middletown, CT 06457 Phone: 860-990-0776 Fax: 860-904-2839 | |
Pursuecare Connecticut Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 Centerpoint Dr Ste 105, Middletown, CT 06457 Phone: 860-317-5251 Fax: 860-469-2766 | |
Mindrise Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 Forest St, Middletown, CT 06457 Phone: 203-999-2777 | |
The Connection, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Roscommon Dr, Middletown, CT 06457 Phone: 860-343-5500 Fax: 860-343-5509 | |
Blue Hills Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Middletown, CT 06457 Phone: 860-852-3860 Fax: 860-852-3860 | |
Whole Heart Art Therapy & Creative Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 955 S Main St # B201, Middletown, CT 06457 Phone: 203-533-2351 | |
Crescent Counseling And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Carriage Crossing Ln, Middletown, CT 06457 Phone: 203-449-8299 |