| Hartford Dispensary | |
|
345 Main St Hartford CT 06106-1824 | |
| (860) 525-2181 | |
| Not Available |
| Full Name | Hartford Dispensary |
|---|---|
| Speciality | Clinic/Center |
| Location | 345 Main St, Hartford, Connecticut |
| Authorized Official Name and Position | Paul Mclaughlin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8605252181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartford Dispensary 345 Main St Hartford CT 06106-1824 Ph: (860) 525-2181 | Hartford Dispensary 345 Main St Hartford CT 06106-1824 Ph: (860) 525-2181 |
| NPI Number | 1104949973 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4789010984 |
|---|---|
| Medicare Enrollment ID | O20240729000909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104949973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | C-0249 (Connecticut) | Primary |
| Provider Name | Jena R Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497315956 PECOS PAC ID: 5890023832 Enrollment ID: I20190828003304 |
| Provider Name | Erica Cahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154732048 PECOS PAC ID: 7618309030 Enrollment ID: I20191122001209 |
| Provider Name | Adrienne Rose Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457028391 PECOS PAC ID: 8628411832 Enrollment ID: I20240205002532 |
| Provider Name | Brandy Charita Holloway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295507663 PECOS PAC ID: 2466994462 Enrollment ID: I20240605003162 |
| Provider Name | Kaitlyn Michele Tetreault |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275172629 PECOS PAC ID: 3870038060 Enrollment ID: I20240711003756 |
| Provider Name | Vanessa Marie Morales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144997875 PECOS PAC ID: 0840737367 Enrollment ID: I20240801003553 |
| Provider Name | Ray T. Bishop |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275804874 PECOS PAC ID: 0042757031 Enrollment ID: I20240808001281 |
| Provider Name | Hunter Paul Mayhew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083478119 PECOS PAC ID: 6305384991 Enrollment ID: I20240814001383 |
| Provider Name | Chauncey A. Allers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306685672 PECOS PAC ID: 0042758591 Enrollment ID: I20240814004021 |
| Provider Name | Erin Keefe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669823936 PECOS PAC ID: 2668910993 Enrollment ID: I20240816002723 |
| Provider Name | Morgan Poeta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114593993 PECOS PAC ID: 5496293755 Enrollment ID: I20240817000017 |
| Provider Name | Rozalyn Marie Davila |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992470264 PECOS PAC ID: 1759829013 Enrollment ID: I20240817000034 |
| Provider Name | Shannon Arnone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194017533 PECOS PAC ID: 7911445283 Enrollment ID: I20240817000117 |
| Provider Name | Ashley Maureen Hickey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841658010 PECOS PAC ID: 4587102702 Enrollment ID: I20240819001788 |
| Provider Name | Raisa Angela Dirienzo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558929661 PECOS PAC ID: 9335687565 Enrollment ID: I20240819002093 |
| Provider Name | Eliezer Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689349722 PECOS PAC ID: 0648718882 Enrollment ID: I20240819002351 |
| Provider Name | Karyn Digirolamo Ferris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356120398 PECOS PAC ID: 6800334947 Enrollment ID: I20240820002299 |
| Provider Name | Kimberly Ann Pascale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093482994 PECOS PAC ID: 9537607684 Enrollment ID: I20240820002710 |
| Provider Name | Eleanor E Joyce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538914965 PECOS PAC ID: 3971041971 Enrollment ID: I20240821000600 |
| Provider Name | Annette Lickwola |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093557050 PECOS PAC ID: 4486199502 Enrollment ID: I20240821001370 |
| Provider Name | Tamora Cooper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548506900 PECOS PAC ID: 3870031800 Enrollment ID: I20240821001807 |
| Provider Name | Madison Feshler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215777594 PECOS PAC ID: 6103364161 Enrollment ID: I20240821003061 |
| Provider Name | Emily Stockwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134893514 PECOS PAC ID: 4385182369 Enrollment ID: I20240821003964 |
| Provider Name | Geina K Palmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215266275 PECOS PAC ID: 4981143864 Enrollment ID: I20240822003391 |
| Provider Name | Katherine Kristina Viara |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740052406 PECOS PAC ID: 3173062072 Enrollment ID: I20240822004457 |
| Provider Name | Kelly Lynn O'heron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710652847 PECOS PAC ID: 8224577127 Enrollment ID: I20240822004598 |
| Provider Name | Mya Petchark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144069840 PECOS PAC ID: 1557800331 Enrollment ID: I20240823003323 |
| Provider Name | Heather Marie Vershay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952722845 PECOS PAC ID: 0446799258 Enrollment ID: I20240825000009 |
| Provider Name | Stefanie Cervero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447012521 PECOS PAC ID: 8426597238 Enrollment ID: I20240825000102 |
| Provider Name | Annemarie H Lucas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508533258 PECOS PAC ID: 0244779056 Enrollment ID: I20240825000111 |
| Provider Name | Abigail Elizabeth Thurlow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104492479 PECOS PAC ID: 7416496245 Enrollment ID: I20240826000836 |
| Provider Name | Rachel Troy Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841061033 PECOS PAC ID: 6709324338 Enrollment ID: I20240827000662 |
| Provider Name | Elizabeth Macchi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629127808 PECOS PAC ID: 1557800133 Enrollment ID: I20240827002806 |
| Provider Name | Danielle Cormier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073120879 PECOS PAC ID: 1759725302 Enrollment ID: I20240828002287 |
| Provider Name | Lisa Marie Besek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548009285 PECOS PAC ID: 6204375785 Enrollment ID: I20240828002335 |
| Provider Name | Amanda E Roy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760156145 PECOS PAC ID: 1052850104 Enrollment ID: I20240903003274 |
| Provider Name | Rachael Benoit |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639523152 PECOS PAC ID: 4486194354 Enrollment ID: I20240905003649 |
| Provider Name | Amanda Ayers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366878241 PECOS PAC ID: 9739629478 Enrollment ID: I20240910000477 |
| Provider Name | James Classon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487937116 PECOS PAC ID: 9436699022 Enrollment ID: I20240910002672 |
| Provider Name | Gabrielle L Gelinas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366719270 PECOS PAC ID: 3173054160 Enrollment ID: I20241001003312 |
| Provider Name | Daniel James Lombardi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194262493 PECOS PAC ID: 8527599257 Enrollment ID: I20241004000565 |
| Provider Name | William Anthony Savinelli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972648871 PECOS PAC ID: 9830620269 Enrollment ID: I20241009000966 |
Torus Bloom, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Wells St, Suite 1a, Hartford, CT 06103 Phone: 860-266-6238 | |
Clearwater Counseling And Psychotherapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Arbor St Ste 301, Hartford, CT 06106 Phone: 413-326-5192 | |
Catholic Charities Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Jefferson St, Hartford, CT 06106 Phone: 860-527-1124 | |
Institute For The Hispanic Family Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Jefferson St, Hartford, CT 06106 Phone: 860-527-1124 | |
The Enlightenment Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Prospect Ave, 2nd Floor, Hartford, CT 06105 Phone: 860-729-6138 Fax: 860-519-5723 | |
Where Healing Begins Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 New Britain Ave Ste 101, Hartford, CT 06110 Phone: 860-985-5215 | |
Octave Behavioral Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Asylum St Fl 20, Hartford, CT 06103 Phone: 415-360-3833 Fax: 628-234-3048 |