Optum Behavioral Care Of Connecticut, P.c. | |
255 Low St Ste 302 Newburyport MA 01950-3596 | |
(952) 246-4564 | |
Not Available |
Full Name | Optum Behavioral Care Of Connecticut, P.c. |
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Speciality | Psychologist |
Location | 255 Low St Ste 302, Newburyport, Massachusetts |
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 |
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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. 255 Low St Ste 302 Newburyport MA 01950-3596 Ph: (952) 246-4564 |
NPI Number | 1831970904 |
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Provider Enumeration Date | 10/13/2023 |
Last Update Date | 12/06/2023 |
Certification Date | 12/06/2023 |
Medicare PECOS PAC ID | 9436502879 |
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Medicare Enrollment ID | O20240311000793 |
Identifier | Type | State | Issuer |
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1831970904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
Provider Name | Jonathan M Inz |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1285698076 PECOS PAC ID: 1355336637 Enrollment ID: I20070410000068 |
Provider Name | Amanda S Bronson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1043591167 PECOS PAC ID: 5193985620 Enrollment ID: I20120321000095 |
Provider Name | Marie L Royer |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1326192048 PECOS PAC ID: 0749170637 Enrollment ID: I20140908000473 |
Provider Name | Barbara St. Pierre |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508177015 PECOS PAC ID: 9638496425 Enrollment ID: I20150316000226 |
Provider Name | Blair Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821474578 PECOS PAC ID: 7214228808 Enrollment ID: I20160629001925 |
Provider Name | Jessica J Palmer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275780983 PECOS PAC ID: 9133406895 Enrollment ID: I20170505000681 |
Provider Name | Ryan J Griffin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801188644 PECOS PAC ID: 9234452723 Enrollment ID: I20190425000044 |
Provider Name | Megan L Cahill |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992281265 PECOS PAC ID: 3870915937 Enrollment ID: I20200617002850 |
Provider Name | Theresa Iannetta |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679919872 PECOS PAC ID: 2668894726 Enrollment ID: I20200617002990 |
Provider Name | Tracy Lew |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659720571 PECOS PAC ID: 6901229236 Enrollment ID: I20200706001210 |
Provider Name | Stephanie J Katzman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1326179078 PECOS PAC ID: 3779906557 Enrollment ID: I20200713001558 |
Provider Name | Wiliam D Hirschaut |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568615599 PECOS PAC ID: 5496172769 Enrollment ID: I20200901001946 |
Provider Name | Andrea Raimondi Quilty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295984722 PECOS PAC ID: 0941358576 Enrollment ID: I20210107002358 |
Provider Name | Steven L Zessis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255612503 PECOS PAC ID: 4587949342 Enrollment ID: I20210114001430 |
Provider Name | Lynne Jeannot |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265012801 PECOS PAC ID: 4688073190 Enrollment ID: I20210602002461 |
Provider Name | Amanda Paige Reilly |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548740301 PECOS PAC ID: 5496144917 Enrollment ID: I20211122002163 |
Provider Name | John P Bernstein |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1033883822 PECOS PAC ID: 7113310152 Enrollment ID: I20220215001575 |
Provider Name | Lindsey M Decoff |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740710367 PECOS PAC ID: 4183081649 Enrollment ID: I20230530000429 |
Provider Name | Dorothy A Fraggetta |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184225567 PECOS PAC ID: 1355708736 Enrollment ID: I20230530001473 |
Provider Name | Emily Nicole Mueskes |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790481133 PECOS PAC ID: 7719344126 Enrollment ID: I20230530002878 |
Provider Name | Robert M Conroy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215513288 PECOS PAC ID: 0345607420 Enrollment ID: I20230605002592 |
Provider Name | Alexandra Marie Hamel |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245849959 PECOS PAC ID: 7214394071 Enrollment ID: I20230609000762 |
Provider Name | Stephon Terrell Martin |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1376047860 PECOS PAC ID: 1052770674 Enrollment ID: I20230629002876 |
Provider Name | Alessandra Catherine Altovino |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518559350 PECOS PAC ID: 7618336132 Enrollment ID: I20230630002386 |
Provider Name | Ryan Moylan |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1811405632 PECOS PAC ID: 6800246232 Enrollment ID: I20231228000768 |
Provider Name | Christine Perry |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1992297238 PECOS PAC ID: 9537519897 Enrollment ID: I20231228002032 |
Provider Name | Laura Remillard |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1619458759 PECOS PAC ID: 3274983564 Enrollment ID: I20231228003211 |
Provider Name | Leah Davis |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1841652237 PECOS PAC ID: 8729430921 Enrollment ID: I20240123002617 |
Provider Name | Kara Elizabeth Poland |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1598203473 PECOS PAC ID: 7719339902 Enrollment ID: I20240124000677 |
Provider Name | Christopher Tyler Carson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1932650306 PECOS PAC ID: 2466805676 Enrollment ID: I20240124001318 |
Provider Name | Kayleigh Greaney |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1093304628 PECOS PAC ID: 4981057106 Enrollment ID: I20240124001775 |
Provider Name | Alison N Gould |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1689259814 PECOS PAC ID: 5496108672 Enrollment ID: I20240124003840 |
Provider Name | Breanna Lucci |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740733880 PECOS PAC ID: 5597118620 Enrollment ID: I20240125001092 |
Provider Name | David Ryan Richardson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1982944831 PECOS PAC ID: 6608318795 Enrollment ID: I20240604003297 |
Provider Name | Amaris Temoso Jones |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1912553165 PECOS PAC ID: 0143762237 Enrollment ID: I20240604003301 |
Provider Name | Maria A Peters |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1912157066 PECOS PAC ID: 4587106588 Enrollment ID: I20240605003513 |
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