| Connecticut Behavioral Health And Wellness Llc | |
|
228 Meadow St Ste 202 Waterbury CT 06702-1807 | |
| (203) 573-9521 | |
| (203) 573-8708 |
| Full Name | Connecticut Behavioral Health And Wellness Llc |
|---|---|
| Speciality | Psychologist |
| Location | 228 Meadow St Ste 202, Waterbury, Connecticut |
| Authorized Official Name and Position | Shawna Lisa Delong (OFFICE MANAGER) |
| Authorized Official Contact | 2035739521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Behavioral Health And Wellness Llc 228 Meadow St Ste 202 Waterbury CT 06702-1807 Ph: (203) 573-9521 | Connecticut Behavioral Health And Wellness Llc 228 Meadow St Ste 202 Waterbury CT 06702-1807 Ph: (203) 573-9521 |
| NPI Number | 1184228884 |
|---|---|
| Provider Enumeration Date | 11/24/2020 |
| Last Update Date | 11/24/2020 |
| Certification Date | 11/24/2020 |
| Medicare PECOS PAC ID | 4880008630 |
|---|---|
| Medicare Enrollment ID | O20210206000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184228884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Michaela U Kauffmann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487763413 PECOS PAC ID: 4284640855 Enrollment ID: I20060307000031 |
| Provider Name | Eric D Margolies |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891804811 PECOS PAC ID: 5092998872 Enrollment ID: I20110401000153 |
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