| Lifecatalyst | |
|
11 Woodland Rd Ste 2 Madison CT 06443-2380 | |
| (203) 208-8996 | |
| (203) 204-1381 |
| Full Name | Lifecatalyst |
|---|---|
| Speciality | Psychologist |
| Location | 11 Woodland Rd Ste 2, Madison, Connecticut |
| Authorized Official Name and Position | Michelle Monaco Reynolds (OWNER) |
| Authorized Official Contact | 2032088996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecatalyst 90 Royal Oak Dr Durham CT 06422-1410 Ph: (203) 208-8996 | Lifecatalyst 11 Woodland Rd Ste 2 Madison CT 06443-2380 Ph: (203) 208-8996 |
| NPI Number | 1467037143 |
|---|---|
| Provider Enumeration Date | 03/14/2021 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Medicare PECOS PAC ID | 6507266780 |
|---|---|
| Medicare Enrollment ID | O20210609001468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467037143 | NPI | - | NPPES |
| Provider Name | Michelle M Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356535850 PECOS PAC ID: 1850462185 Enrollment ID: I20080613000485 |
| Provider Name | Deborah Delvecchio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649794249 PECOS PAC ID: 1951745264 Enrollment ID: I20240214003315 |
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