| Optum Behavioral Care Of Connecticut, P.c. | |
|
341 West St Unit B Plantsville CT 06479-1140 | |
| (203) 819-0789 | |
| (941) 460-5599 |
| Full Name | Optum Behavioral Care Of Connecticut, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 341 West St Unit B, Plantsville, Connecticut |
| Authorized Official Name and Position | Amanda Bronson (CEO) |
| Authorized Official Contact | 7045066267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Behavioral Care Of Connecticut, P.c. 67 Burnside Ave East Hartford CT 06108-3408 Ph: (952) 246-4564 | Optum Behavioral Care Of Connecticut, P.c. 341 West St Unit B Plantsville CT 06479-1140 Ph: (203) 819-0789 |
| NPI Number | 1164203238 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Medicare PECOS PAC ID | 9436502879 |
|---|---|
| Medicare Enrollment ID | O20240201001054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164203238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Jessica M Screen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609116029 PECOS PAC ID: 2062650856 Enrollment ID: I20130606000567 |
| Provider Name | Jaclyn Elizabeth Alessio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902458359 PECOS PAC ID: 1850622762 Enrollment ID: I20191008000779 |
| Provider Name | Hairong Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154952794 PECOS PAC ID: 7810318664 Enrollment ID: I20200602002468 |
| Provider Name | Carolyn Sowa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477630697 PECOS PAC ID: 6507270758 Enrollment ID: I20210128002491 |
| Provider Name | Marie Goodine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023642998 PECOS PAC ID: 1355755240 Enrollment ID: I20210204002679 |
| Provider Name | Desiree Nicole Emirzian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669948428 PECOS PAC ID: 5395151807 Enrollment ID: I20210309000125 |
| Provider Name | Rachael Elizabeth Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588937114 PECOS PAC ID: 5799191144 Enrollment ID: I20210309002139 |
| Provider Name | Rio Elena Comaduran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477065043 PECOS PAC ID: 2769881309 Enrollment ID: I20210601002432 |
| Provider Name | Dana Segall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982149480 PECOS PAC ID: 1355742156 Enrollment ID: I20210630003836 |
| Provider Name | Cathleen Nowak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346712031 PECOS PAC ID: 8325446263 Enrollment ID: I20211007001769 |
| Provider Name | Alexis Loren Greenwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700506680 PECOS PAC ID: 0941685150 Enrollment ID: I20220923000403 |
| Provider Name | Kristal Alexis Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295380913 PECOS PAC ID: 3274904560 Enrollment ID: I20230124003231 |
| Provider Name | Kelly Tarascio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174112262 PECOS PAC ID: 9234500554 Enrollment ID: I20230125000858 |
| Provider Name | Carly Rae Jacques |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467022830 PECOS PAC ID: 9739551086 Enrollment ID: I20230214001757 |
| Provider Name | Paulette Atse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861112013 PECOS PAC ID: 7719350917 Enrollment ID: I20230309002000 |
| Provider Name | Christina Kalogeris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811542715 PECOS PAC ID: 7517332703 Enrollment ID: I20230330002028 |
| Provider Name | Karissa Piedescalzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932556602 PECOS PAC ID: 8628442894 Enrollment ID: I20230407000440 |
| Provider Name | Brittany Muldowney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114647922 PECOS PAC ID: 8325403744 Enrollment ID: I20230508000984 |
| Provider Name | Michele Granville Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902388234 PECOS PAC ID: 4183083983 Enrollment ID: I20230711001546 |
| Provider Name | Joseph John Jacovino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710422068 PECOS PAC ID: 8426417262 Enrollment ID: I20230711002762 |
| Provider Name | Taurus Lazine Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063868982 PECOS PAC ID: 8729449194 Enrollment ID: I20230801003391 |
| Provider Name | Alyssa Ashly Kondor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164991451 PECOS PAC ID: 1557723640 Enrollment ID: I20230822002407 |
| Provider Name | Idalia Centeno-diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225536519 PECOS PAC ID: 3870978794 Enrollment ID: I20230831004247 |
| Provider Name | Kerin B Foley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154337004 PECOS PAC ID: 4981068095 Enrollment ID: I20230907003281 |
| Provider Name | Timothy John Rowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073173035 PECOS PAC ID: 1153775648 Enrollment ID: I20231003000781 |
| Provider Name | Alyssa Lynn Boynton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801322623 PECOS PAC ID: 3072964907 Enrollment ID: I20240104003829 |
| Provider Name | Chelsea N Humphrey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548555816 PECOS PAC ID: 3678940582 Enrollment ID: I20240118003297 |
| Provider Name | Jodi-kae C Joseph |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851999577 PECOS PAC ID: 3173966033 Enrollment ID: I20240207002255 |
| Provider Name | Blake Gilbert Reuter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114318789 PECOS PAC ID: 9537502372 Enrollment ID: I20240208000828 |
| Provider Name | Ricacha Tashana Jimenez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407152168 PECOS PAC ID: 2365885126 Enrollment ID: I20240208001563 |
| Provider Name | Amy Jane Giller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073969663 PECOS PAC ID: 1254780422 Enrollment ID: I20240328001858 |
| Provider Name | Katina A Tsitaridis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467070243 PECOS PAC ID: 9234588450 Enrollment ID: I20240328002163 |
| Provider Name | Elizabeth Genovese |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902209471 PECOS PAC ID: 2668810433 Enrollment ID: I20240329002439 |
| Provider Name | Sharayah Morrissey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265773881 PECOS PAC ID: 9133567886 Enrollment ID: I20240401002547 |
| Provider Name | Melinda S Challman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144006255 PECOS PAC ID: 4981043353 Enrollment ID: I20240417004236 |
| Provider Name | Amanda J Sperandio |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629428297 PECOS PAC ID: 2264974880 Enrollment ID: I20240610003720 |
| Provider Name | Hallie Colleen Brady |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770062739 PECOS PAC ID: 0143763441 Enrollment ID: I20240614001723 |
| Provider Name | Nicole Marie Battistone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134650237 PECOS PAC ID: 7719343193 Enrollment ID: I20240614001857 |
Rebecca Stamat Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Cornerstone Ct Ste 5, Plantsville, CT 06479 Phone: 203-558-0786 | |
Guided Recovery Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Main St, Building 4 Second Level, Plantsville, CT 06479 Phone: 860-384-2523 | |
True Self Counseling & Consultation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Main St Ste 5, Plantsville, CT 06479 Phone: 203-695-3871 | |
Blossom Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 Frost St, Plantsville, CT 06479 Phone: 203-687-8953 | |
Bright Futures Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 790 S Main St, Plantsville, CT 06479 Phone: 860-853-8494 | |
Enchanted Therapies, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Summit St, Plantsville, CT 06479 Phone: 860-919-7840 |