| Crt Behavioral Health | |
|
330 Market Street Hartford CT 06120 | |
| (860) 761-7900 | |
| (860) 761-7928 |
| Full Name | Crt Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 330 Market Street, Hartford, Connecticut |
| Authorized Official Name and Position | Gsteve John Kerlejo (UP SENIOR SERVICES) |
| Authorized Official Contact | 8605605632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crt Behavioral Health 555 Windsor Street Hartford CT 06120 Ph: (860) 761-7900 | Crt Behavioral Health 330 Market Street Hartford CT 06120 Ph: (860) 761-7900 |
| NPI Number | 1841301876 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 09/26/2014 |
| Medicare PECOS PAC ID | 7618956939 |
|---|---|
| Medicare Enrollment ID | O20040827000903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841301876 | NPI | - | NPPES |
| 004243747 | Medicaid | CT |
| Provider Name | Anees Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184692089 PECOS PAC ID: 3072565357 Enrollment ID: I20050215000448 |
| Provider Name | Sharon M Hasbani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003086471 PECOS PAC ID: 1951436260 Enrollment ID: I20100311000775 |
| Provider Name | Batul Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639245848 PECOS PAC ID: 2567646300 Enrollment ID: I20110404000016 |
| Provider Name | Kimberly L Milaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740687466 PECOS PAC ID: 8224351432 Enrollment ID: I20141219000512 |
| Provider Name | Thomas Knutson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003109745 PECOS PAC ID: 1759684939 Enrollment ID: I20170815002725 |
| Provider Name | Michele A Wiggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801458716 PECOS PAC ID: 8022343888 Enrollment ID: I20190716001988 |
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