| Optum Behavioral Care Of Connecticut, P.c. | |
|
234 Church St Ste 301 New Haven CT 06510-1807 | |
| (952) 246-4564 | |
| Not Available |
| Full Name | Optum Behavioral Care Of Connecticut, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 234 Church St Ste 301, New Haven, 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. 234 Church St Ste 301 New Haven CT 06510-1807 Ph: (952) 246-4564 |
| NPI Number | 1649051715 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Medicare PECOS PAC ID | 9436502879 |
|---|---|
| Medicare Enrollment ID | O20240311002331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649051715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Kathryn C P Scrimenti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285658435 PECOS PAC ID: 5991754301 Enrollment ID: I20050112000842 |
| Provider Name | Catherine H Frankel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659923308 PECOS PAC ID: 5496087645 Enrollment ID: I20231010001410 |
| Provider Name | Sandra Maria Grzybowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902528029 PECOS PAC ID: 9739535162 Enrollment ID: I20231020003009 |
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