| Comprehensive Psychiatric Care Pc | |
|
200 West Town St Norwich CT 06360 | |
| (860) 886-1508 | |
| (860) 889-4606 |
| Full Name | Comprehensive Psychiatric Care Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 200 West Town St, Norwich, Connecticut |
| Authorized Official Name and Position | Mahmoud Sarwat Okasha (MEDICAL DOCTOR OWNER) |
| Authorized Official Contact | 8608861508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Psychiatric Care Pc 200 West Town St Norwich CT 06360 Ph: (860) 886-1508 | Comprehensive Psychiatric Care Pc 200 West Town St Norwich CT 06360 Ph: (860) 886-1508 |
| NPI Number | 1982783247 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3072683853 |
|---|---|
| Medicare Enrollment ID | O20080605000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982783247 | NPI | - | NPPES |
| 1175298 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lynn Mccaffrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326064338 PECOS PAC ID: 4385720408 Enrollment ID: I20080328000480 |
| Provider Name | Mahmoud S Okasha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083890016 PECOS PAC ID: 5991875890 Enrollment ID: I20080604000371 |
| Provider Name | Megan Klein |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1437232766 PECOS PAC ID: 5698963171 Enrollment ID: I20101228000527 |
| Provider Name | Alice Simoniello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841622263 PECOS PAC ID: 8123259041 Enrollment ID: I20140318001187 |
| Provider Name | Sharif J Okasha |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518027325 PECOS PAC ID: 1254477342 Enrollment ID: I20150130000405 |
| Provider Name | Rachel Sampson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316077795 PECOS PAC ID: 4587981592 Enrollment ID: I20150331001201 |
| Provider Name | Kathleen Hustek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184027203 PECOS PAC ID: 9436454436 Enrollment ID: I20160301000555 |
| Provider Name | Laurie G Mazzarella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396960274 PECOS PAC ID: 2668719576 Enrollment ID: I20190131001065 |
| Provider Name | Joanne R Zenowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518143544 PECOS PAC ID: 6901230606 Enrollment ID: I20200106003018 |
| Provider Name | Michele J Chenevert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215016332 PECOS PAC ID: 7911332515 Enrollment ID: I20200108001346 |
| Provider Name | Candace O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841437357 PECOS PAC ID: 4385790252 Enrollment ID: I20200117000192 |
| Provider Name | Michelle Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215563168 PECOS PAC ID: 8628494077 Enrollment ID: I20200811003847 |
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