| South Central Counseling Center | |
|
48 Howe St New Haven CT 06511-4620 | |
| (203) 624-1855 | |
| (203) 624-1884 |
| Full Name | South Central Counseling Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 48 Howe St, New Haven, Connecticut |
| Authorized Official Name and Position | Lynn Spencer (VICE PRESIDENT) |
| Authorized Official Contact | 8603435500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Counseling Center 955 S Main St Middletown CT 06457-5153 Ph: (860) 343-5500 | South Central Counseling Center 48 Howe St New Haven CT 06511-4620 Ph: (203) 624-1855 |
| NPI Number | 1700934296 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 07/23/2009 |
| Medicare PECOS PAC ID | 7719025915 |
|---|---|
| Medicare Enrollment ID | O20091109000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700934296 | NPI | - | NPPES |
| 004218162 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Meadow B Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255418828 PECOS PAC ID: 3072561216 Enrollment ID: I20050105000172 |
| Provider Name | Jay K Berkowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255382396 PECOS PAC ID: 4688622319 Enrollment ID: I20050110000231 |
| Provider Name | Raquel Lugo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639209398 PECOS PAC ID: 1355393471 Enrollment ID: I20050217000360 |
| Provider Name | Laurie Reisman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487772232 PECOS PAC ID: 5294758017 Enrollment ID: I20060107000048 |
| Provider Name | Deborah B Dembo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245346857 PECOS PAC ID: 0648275636 Enrollment ID: I20060926000238 |
| Provider Name | Susan M Brown |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1013999028 PECOS PAC ID: 8123121506 Enrollment ID: I20070306000440 |
| Provider Name | Deborah S Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215073812 PECOS PAC ID: 3375698988 Enrollment ID: I20090903000436 |
| Provider Name | Richard Stillson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235434234 PECOS PAC ID: 5496949398 Enrollment ID: I20101104001126 |
| Provider Name | Mary K Salustri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245257070 PECOS PAC ID: 5890970644 Enrollment ID: I20110421000407 |
| Provider Name | Maryfrances L Desteno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922374354 PECOS PAC ID: 9436308087 Enrollment ID: I20120926000125 |
| Provider Name | Rebecca A Mckeon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992043756 PECOS PAC ID: 4486897147 Enrollment ID: I20130828000005 |
| Provider Name | Deborah S Guidetti Gerwien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821420563 PECOS PAC ID: 3173751492 Enrollment ID: I20140114000317 |
| Provider Name | Karen Brody |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144348376 PECOS PAC ID: 9638394091 Enrollment ID: I20140627001657 |
| Provider Name | Theresa Nowakowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588800569 PECOS PAC ID: 0941422919 Enrollment ID: I20141106000434 |
| Provider Name | Lee Siuzdak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124323878 PECOS PAC ID: 4486976149 Enrollment ID: I20141208001498 |
| Provider Name | Suzanne A Rosenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003130519 PECOS PAC ID: 2567766033 Enrollment ID: I20160203000725 |
| Provider Name | Scott G Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215121009 PECOS PAC ID: 7517261043 Enrollment ID: I20160203002652 |
| Provider Name | Vickie B Alston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053618579 PECOS PAC ID: 3577868355 Enrollment ID: I20160217000733 |
| Provider Name | Kathleen Hustek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184027203 PECOS PAC ID: 9436454436 Enrollment ID: I20160301000555 |
| Provider Name | Sanh Angkhavong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962855882 PECOS PAC ID: 8921388026 Enrollment ID: I20161207000929 |
| Provider Name | Peggy Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336655240 PECOS PAC ID: 6507129269 Enrollment ID: I20180410001940 |
| Provider Name | Adam Stanley Mikiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184136590 PECOS PAC ID: 7214290758 Enrollment ID: I20180413001375 |
| Provider Name | Marci A Mcnicol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184980211 PECOS PAC ID: 6002079043 Enrollment ID: I20181121001031 |
| Provider Name | Olivia Whittle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174129704 PECOS PAC ID: 5991144677 Enrollment ID: I20240415000346 |
| Provider Name | Emily Velidow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467180679 PECOS PAC ID: 1456793298 Enrollment ID: I20240524002957 |
Clifford Beers Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 93 Edwards St, New Haven, CT 06511 Phone: 203-772-1270 | |
Integrated Wellness Group, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 446a Blake Street, Suite 200, New Haven, CT 06515 Phone: 203-387-9400 Fax: 888-772-2160 | |
Ellis Psychotherapy, Training & Consultation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Farnham Ave Apt 1, New Haven, CT 06515 Phone: 475-441-4082 | |
Lacuna Autism Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 139 Orange St, New Haven, CT 06510 Phone: 888-611-0870 Fax: 888-714-4996 | |
Hospital Of Saint Raphael Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1294 Chapel St, 2nd Floor, New Haven, CT 06511 Phone: 203-784-8750 | |
Psychiatric Care Consultants Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Park St, Suite 1g, New Haven, CT 06511 Phone: 203-562-0223 Fax: 203-777-4226 | |
Synaptic Soulutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 69 W Prospect St, New Haven, CT 06515 Phone: 475-441-4305 |