| Mellahealth Llc | |
|
125 Lasalle Rd Ste 300 West Hartford CT 06107-2311 | |
| (860) 342-8192 | |
| (860) 523-4225 |
| Full Name | Mellahealth Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 125 Lasalle Rd Ste 300, West Hartford, Connecticut |
| Authorized Official Name and Position | Ivy Sara Patt (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8608100587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mellahealth Llc 125 Lasalle Rd Ste 300 West Hartford CT 06107-2311 Ph: (860) 342-8192 | Mellahealth Llc 125 Lasalle Rd Ste 300 West Hartford CT 06107-2311 Ph: (860) 342-8192 |
| NPI Number | 1477158046 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 02/18/2022 |
| Certification Date | 02/18/2022 |
| Medicare PECOS PAC ID | 9032528658 |
|---|---|
| Medicare Enrollment ID | O20210512001623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477158046 | NPI | - | NPPES |
| Provider Name | Denise A Demers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013344308 PECOS PAC ID: 0042440521 Enrollment ID: I20140228001504 |
| Provider Name | Emily K Kloo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821497397 PECOS PAC ID: 8729368691 Enrollment ID: I20161212000417 |
| Provider Name | John Jacob |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245616549 PECOS PAC ID: 9335481118 Enrollment ID: I20190426000261 |
| Provider Name | Larisa M Zaleta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639685100 PECOS PAC ID: 3375886930 Enrollment ID: I20190522001417 |
| Provider Name | Cort Heine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891349254 PECOS PAC ID: 7810329828 Enrollment ID: I20191113001269 |
| Provider Name | Sarah Laufer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255710364 PECOS PAC ID: 3274940283 Enrollment ID: I20210318000341 |
| Provider Name | Cynthia Aguilar Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548746563 PECOS PAC ID: 4082023601 Enrollment ID: I20210512001814 |
| Provider Name | Leanna Lee-sydnor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114353240 PECOS PAC ID: 1052720596 Enrollment ID: I20210512002906 |
| Provider Name | Sharon Beesley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801466404 PECOS PAC ID: 4183027634 Enrollment ID: I20210722000100 |
| Provider Name | Adalicia Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689159691 PECOS PAC ID: 5698171437 Enrollment ID: I20210902002038 |
| Provider Name | Emily Brede |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124673520 PECOS PAC ID: 2567852684 Enrollment ID: I20211204000083 |
| Provider Name | Kelly Neumann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629737614 PECOS PAC ID: 7911398797 Enrollment ID: I20220105002129 |
| Provider Name | Alie E Bates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235769092 PECOS PAC ID: 5294127395 Enrollment ID: I20220124000732 |
| Provider Name | Kaitlin Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609388867 PECOS PAC ID: 8123355922 Enrollment ID: I20220427002395 |
| Provider Name | Mallory Ozycz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033683636 PECOS PAC ID: 7416338595 Enrollment ID: I20220720003322 |
| Provider Name | Joana Fagbola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962996371 PECOS PAC ID: 3870966823 Enrollment ID: I20230222002584 |
| Provider Name | Brian O'hare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255578407 PECOS PAC ID: 5597138404 Enrollment ID: I20230223001889 |
| Provider Name | Dana Schmitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720228414 PECOS PAC ID: 6709250277 Enrollment ID: I20230323002260 |
| Provider Name | Chelsea A Hepburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669076519 PECOS PAC ID: 3274907795 Enrollment ID: I20230324001407 |
| Provider Name | Brenda L Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316690399 PECOS PAC ID: 8921472192 Enrollment ID: I20230330000878 |
| Provider Name | Kathleen Mckay-pyne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144867722 PECOS PAC ID: 3678929866 Enrollment ID: I20231024003177 |
| Provider Name | Kedeisha Fountain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184897084 PECOS PAC ID: 0840642880 Enrollment ID: I20240116001558 |
| Provider Name | Melissa Walder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972118511 PECOS PAC ID: 9537500111 Enrollment ID: I20240514001759 |
| Provider Name | Alexander Larosa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346979085 PECOS PAC ID: 4688015282 Enrollment ID: I20240514002390 |
| Provider Name | Adrian Torres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336655992 PECOS PAC ID: 3678914280 Enrollment ID: I20240514002804 |
Phoenix Healing, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Main St Ste 107, West Hartford, CT 06107 Phone: 860-352-0813 | |
Geoff Genser, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 N Main St, 3rd Floor, West Hartford, CT 06107 Phone: 860-570-0877 Fax: 860-264-4737 | |
The Bridge Family Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1022 Farmington Ave, West Hartford, CT 06107 Phone: 860-561-9635 | |
Hollie Barkoff Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Main St, Suite 107, West Hartford, CT 06107 Phone: 860-463-4243 | |
Sayuri Integrative Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Park Rd, West Hartford, CT 06119 Phone: 860-593-7243 | |
Ruth L. Jacobson, Ms, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 N Main St Ste 315, West Hartford, CT 06107 Phone: 860-604-3101 Fax: 860-658-6002 | |
Karen Scheel Holley Psyd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 45 S Main St Ste 70, West Hartford, CT 06107 Phone: 860-785-4232 |