| Ct Resource Group Llc | |
|
133 Scovill St Ste 211 Waterbury CT 06706-1127 | |
| (203) 573-9521 | |
| (203) 573-8708 |
| Full Name | Ct Resource Group Llc |
|---|---|
| Speciality | Psychologist |
| Location | 133 Scovill St, Waterbury, Connecticut |
| Authorized Official Name and Position | Sidney S Horowitz (GENERAL PARTNER) |
| Authorized Official Contact | 2035739521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ct Resource Group Llc 133 Scovill St Ste 211 Waterbury CT 06706-1127 Ph: (203) 573-9521 | Ct Resource Group Llc 133 Scovill St Ste 211 Waterbury CT 06706-1127 Ph: (203) 573-9521 |
| NPI Number | 1275544488 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 10/17/2012 |
| Medicare PECOS PAC ID | 0446142822 |
|---|---|
| Medicare Enrollment ID | O20040329001451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275544488 | NPI | - | NPPES |
| 004188183 | Medicaid | CT | |
| 50CONNRESCT01 | Other | CT | BLUE SHIELD |
| 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 | Lauren K Ayr Volta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508097031 PECOS PAC ID: 7214070473 Enrollment ID: I20100210000325 |
| 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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