| Psychotherapy Associates Of Western Connecticut | |
|
246 Federal Rd C-24 Brookfield CT 06804-2647 | |
| (203) 740-2595 | |
| (203) 740-2287 |
| Full Name | Psychotherapy Associates Of Western Connecticut |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 246 Federal Rd, Brookfield, Connecticut |
| Authorized Official Name and Position | Laura C Erhardt (PARTNER) |
| Authorized Official Contact | 2037402595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy Associates Of Western Connecticut 246 Federal Rd C-24 Brookfield CT 06804-2647 Ph: (203) 740-2595 | Psychotherapy Associates Of Western Connecticut 246 Federal Rd C-24 Brookfield CT 06804-2647 Ph: (203) 740-2595 |
| NPI Number | 1881895670 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9234314790 |
|---|---|
| Medicare Enrollment ID | O20110426000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881895670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 000218CT (Connecticut) | Primary |
| Provider Name | James B O Callaghan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689796690 PECOS PAC ID: 0749325710 Enrollment ID: I20100302000241 |
| Provider Name | Judith L O'callaghan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508988510 PECOS PAC ID: 8224213780 Enrollment ID: I20240401002943 |
| Provider Name | Marie Padgett |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174924401 PECOS PAC ID: 9739301839 Enrollment ID: I20240404000356 |
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