| Intercommunity, Inc. | |
|
281 Main Street East Hartford CT 06118-1883 | |
| (860) 569-5900 | |
| (860) 569-5614 |
| Full Name | Intercommunity, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 281 Main Street, East Hartford, Connecticut |
| Authorized Official Name and Position | Kimberly L Beauregard (CEO & PRESIDENT) |
| Authorized Official Contact | 8605695900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercommunity, Inc. 281 Main Street East Hartford CT 06118-1883 Ph: (860) 569-5900 | Intercommunity, Inc. 281 Main Street East Hartford CT 06118-1883 Ph: (860) 569-5900 |
| NPI Number | 1073548533 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9032001649 |
|---|---|
| Medicare Enrollment ID | O20040329000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073548533 | NPI | - | NPPES |
| 004050993 | Medicaid | CT | |
| 312837 | Other | MHN | |
| 008047966 | Medicaid | CT |
| Provider Name | Jill L Duboff-jacomini |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1538142435 PECOS PAC ID: 9638081763 Enrollment ID: I20031105000553 |
| Provider Name | Margaret A Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659306033 PECOS PAC ID: 8224924543 Enrollment ID: I20040224000993 |
| Provider Name | Kathryn B Calvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043253313 PECOS PAC ID: 3476449703 Enrollment ID: I20040224001075 |
| Provider Name | Luis R Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801863220 PECOS PAC ID: 2567350408 Enrollment ID: I20040310000888 |
| Provider Name | Danilo Pangilinan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184691800 PECOS PAC ID: 5991780793 Enrollment ID: I20040623001425 |
| Provider Name | Andrea S Barletta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730187634 PECOS PAC ID: 5991748386 Enrollment ID: I20050607000397 |
| Provider Name | Wayne H Cotton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861449829 PECOS PAC ID: 2567480163 Enrollment ID: I20051102000693 |
| Provider Name | Carissa F Patsky Pomerleau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477760791 PECOS PAC ID: 6901816578 Enrollment ID: I20060426000629 |
| Provider Name | Vivian Carr Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194772004 PECOS PAC ID: 7214948330 Enrollment ID: I20060605000119 |
| Provider Name | Tyler V.r. Booth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962410811 PECOS PAC ID: 3678577400 Enrollment ID: I20060908000167 |
| Provider Name | Richard E Amaral |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689636045 PECOS PAC ID: 9537165311 Enrollment ID: I20061019000011 |
| Provider Name | Usman C Ramzan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356387823 PECOS PAC ID: 7810955663 Enrollment ID: I20070423000040 |
| Provider Name | Stuart M Forman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437193638 PECOS PAC ID: 6103924717 Enrollment ID: I20070605000629 |
| Provider Name | Jennifer Doutre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710101191 PECOS PAC ID: 3476652439 Enrollment ID: I20070616000031 |
| Provider Name | Gina Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114110160 PECOS PAC ID: 3577656503 Enrollment ID: I20070907000404 |
| Provider Name | Andrea M Bayley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740476498 PECOS PAC ID: 2264529825 Enrollment ID: I20071029000417 |
| Provider Name | Brian A Cardona |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689749830 PECOS PAC ID: 9931280005 Enrollment ID: I20080115000204 |
| Provider Name | Maria Banevicius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659354827 PECOS PAC ID: 3274606710 Enrollment ID: I20080717000115 |
| Provider Name | Bechara Barrak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912928177 PECOS PAC ID: 1254469307 Enrollment ID: I20100511000143 |
| Provider Name | John Wenceslao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740203868 PECOS PAC ID: 9234267386 Enrollment ID: I20100511000163 |
| Provider Name | Melissa Elek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790010866 PECOS PAC ID: 8224160866 Enrollment ID: I20100719000195 |
| Provider Name | Mary K Salustri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245257070 PECOS PAC ID: 5890970644 Enrollment ID: I20110421000407 |
| Provider Name | Jennifer Valva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164700381 PECOS PAC ID: 4587830740 Enrollment ID: I20120110000553 |
| Provider Name | Thomas J Mclarney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033178496 PECOS PAC ID: 7810154986 Enrollment ID: I20120201000030 |
| Provider Name | Felipe Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619257862 PECOS PAC ID: 6406004639 Enrollment ID: I20120913000338 |
| Provider Name | Syrma I Middlebrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427484708 PECOS PAC ID: 4385879501 Enrollment ID: I20131024000669 |
| Provider Name | Kimberly L Beauregard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053346510 PECOS PAC ID: 8729970330 Enrollment ID: I20131209000820 |
| Provider Name | Chad Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942592514 PECOS PAC ID: 1759500994 Enrollment ID: I20140919001552 |
| Provider Name | Alexandra R Solomon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811289861 PECOS PAC ID: 4880816339 Enrollment ID: I20141118000242 |
| Provider Name | Kris Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700935574 PECOS PAC ID: 1153640081 Enrollment ID: I20150428000061 |
| Provider Name | Ryan T Macdonough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639546005 PECOS PAC ID: 9436469335 Enrollment ID: I20151105000167 |
| Provider Name | Lindsay A Potterton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750561155 PECOS PAC ID: 5698065522 Enrollment ID: I20160606002402 |
| Provider Name | Christina Morrissey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881067247 PECOS PAC ID: 9436449915 Enrollment ID: I20160613001548 |
| Provider Name | Sarah Messier-smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821496506 PECOS PAC ID: 5597052340 Enrollment ID: I20160922001806 |
| Provider Name | Raymond J Morris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184988867 PECOS PAC ID: 1951680289 Enrollment ID: I20161109001779 |
| Provider Name | Danielle R Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922004290 PECOS PAC ID: 9335129469 Enrollment ID: I20161213000016 |
| Provider Name | Eric D O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295277531 PECOS PAC ID: 7517248974 Enrollment ID: I20161227001477 |
| Provider Name | Kathryn H Mclarney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811221872 PECOS PAC ID: 8022390814 Enrollment ID: I20170201000359 |
| Provider Name | Michael Paglione |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457633935 PECOS PAC ID: 7214210673 Enrollment ID: I20170208002229 |
| Provider Name | Kathleen Pariseau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124119904 PECOS PAC ID: 9830474923 Enrollment ID: I20170403001688 |
| Provider Name | Lauren Millerd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326589847 PECOS PAC ID: 4082990890 Enrollment ID: I20170410002617 |
| Provider Name | April A Bontempo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427599349 PECOS PAC ID: 9739465436 Enrollment ID: I20170412001019 |
| Provider Name | Rebecca Rickert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710417357 PECOS PAC ID: 7618240938 Enrollment ID: I20170908001412 |
| Provider Name | Erin Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932525516 PECOS PAC ID: 4183997315 Enrollment ID: I20170908002325 |
| Provider Name | Cassandra Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740718618 PECOS PAC ID: 9436422508 Enrollment ID: I20170912001926 |
| Provider Name | Rebecca Fennessy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528577616 PECOS PAC ID: 4385904002 Enrollment ID: I20180127000034 |
| Provider Name | Kimberly Mishriky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396994455 PECOS PAC ID: 7810257557 Enrollment ID: I20180129000911 |
| Provider Name | Tracy L Kunkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538460407 PECOS PAC ID: 2264792464 Enrollment ID: I20180208001176 |
| Provider Name | Tonesha N Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598288383 PECOS PAC ID: 6901161033 Enrollment ID: I20180521000968 |
| Provider Name | Lauren H Haines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821407925 PECOS PAC ID: 7012230311 Enrollment ID: I20180521001748 |
| Provider Name | Salome Tsurtsumia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013411727 PECOS PAC ID: 7113282757 Enrollment ID: I20180531000888 |
| Provider Name | Patricia Saltzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770954919 PECOS PAC ID: 0446505648 Enrollment ID: I20180612000301 |
| Provider Name | Tahir Thomas Kinsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811494065 PECOS PAC ID: 4486909470 Enrollment ID: I20180614002762 |
| Provider Name | Kelly E Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427549088 PECOS PAC ID: 8123376803 Enrollment ID: I20180813002528 |
| Provider Name | Viktoriya Anatolievna Stork |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891278529 PECOS PAC ID: 5597019224 Enrollment ID: I20181116000625 |
| Provider Name | Kaitlin S Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003359738 PECOS PAC ID: 3678819869 Enrollment ID: I20190109000692 |
| Provider Name | Zoey Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841761731 PECOS PAC ID: 0446598825 Enrollment ID: I20190208003092 |
| Provider Name | Vallerie Michelle Hibbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841764305 PECOS PAC ID: 9032458849 Enrollment ID: I20190221002715 |
| Provider Name | Michael Marrero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821558354 PECOS PAC ID: 9739420290 Enrollment ID: I20190410000258 |
| Provider Name | Sonya Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417416041 PECOS PAC ID: 1254673304 Enrollment ID: I20190422001318 |
| Provider Name | Maria Lawrence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699293431 PECOS PAC ID: 1557604105 Enrollment ID: I20190522001012 |
| Provider Name | Christie L Vardhami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013564905 PECOS PAC ID: 8527399492 Enrollment ID: I20191007002356 |
| Provider Name | Anthony D Veturis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891320404 PECOS PAC ID: 3577989623 Enrollment ID: I20200819002939 |
| Provider Name | Dorothy R Carvalho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649813429 PECOS PAC ID: 2365862869 Enrollment ID: I20201022002197 |
| Provider Name | Caitlin Putnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497352629 PECOS PAC ID: 1658783139 Enrollment ID: I20201208001721 |
| Provider Name | Zachary S Steinbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730610387 PECOS PAC ID: 5698189827 Enrollment ID: I20210130000059 |
| Provider Name | Janine Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881234516 PECOS PAC ID: 4486061959 Enrollment ID: I20210330000047 |
| Provider Name | Sharon Fong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720671456 PECOS PAC ID: 0244648863 Enrollment ID: I20210421000203 |
| Provider Name | Rebecca Blake Pieper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548832355 PECOS PAC ID: 2668879586 Enrollment ID: I20210920003106 |
| Provider Name | Mallory Alexis Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255009056 PECOS PAC ID: 2567850928 Enrollment ID: I20211104000523 |
| Provider Name | Andrew Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811651177 PECOS PAC ID: 1052701109 Enrollment ID: I20211202002886 |
| Provider Name | Alexander Drew Pepe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144972258 PECOS PAC ID: 9133512213 Enrollment ID: I20220214000975 |
| Provider Name | Jahaira Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104313410 PECOS PAC ID: 6103210695 Enrollment ID: I20220226000011 |
| Provider Name | Sarah Matteson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811631583 PECOS PAC ID: 5092195206 Enrollment ID: I20220706001988 |
| Provider Name | Heather Cosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124745757 PECOS PAC ID: 8123491776 Enrollment ID: I20230301000538 |
| Provider Name | Latiaha Nichelle Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891411641 PECOS PAC ID: 8325411580 Enrollment ID: I20230309000224 |
| Provider Name | Dorothy Jessica Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265023071 PECOS PAC ID: 6103299250 Enrollment ID: I20230310001159 |
| Provider Name | Ana Cristina Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689373615 PECOS PAC ID: 1557736030 Enrollment ID: I20230414001397 |
| Provider Name | Oluwatayo Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265148753 PECOS PAC ID: 2365817723 Enrollment ID: I20230417002439 |
| Provider Name | Sarah M Hornberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518582279 PECOS PAC ID: 9739542820 Enrollment ID: I20230822002881 |
| Provider Name | Marisa Aspromonti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235715491 PECOS PAC ID: 5597117630 Enrollment ID: I20240115000492 |
| Provider Name | Sarah M Connors Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407186273 PECOS PAC ID: 3577915297 Enrollment ID: I20240118002139 |
| Provider Name | James Bachand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649922006 PECOS PAC ID: 4082066634 Enrollment ID: I20240118003334 |
| Provider Name | Zaida Dougherty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790054013 PECOS PAC ID: 1052763547 Enrollment ID: I20240119003911 |
| Provider Name | Bernice V Malachi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891113056 PECOS PAC ID: 0840643896 Enrollment ID: I20240126000607 |
| Provider Name | Amy Jensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043730443 PECOS PAC ID: 7113370008 Enrollment ID: I20240126002576 |
| Provider Name | Shannon M O'neal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619683026 PECOS PAC ID: 0547613838 Enrollment ID: I20240202002277 |
| Provider Name | Chelsea Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255715892 PECOS PAC ID: 0042518250 Enrollment ID: I20240412000408 |
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