| Spectrum Psychiatric Group Pc | |
|
60 Washington Ave Suite 304 Hamden CT 06518 | |
| (203) 281-2890 | |
| (203) 281-2896 |
| Full Name | Spectrum Psychiatric Group Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 60 Washington Ave, Hamden, Connecticut |
| Authorized Official Name and Position | Robert B Ostroff (MANAGING PARTNER) |
| Authorized Official Contact | 2032812897 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Psychiatric Group Pc 60 Washington Ave Suite 304 Hamden CT 06518 Ph: (203) 281-2890 | Spectrum Psychiatric Group Pc 60 Washington Ave Suite 304 Hamden CT 06518 Ph: (203) 281-2890 |
| NPI Number | 1558420653 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1254328610 |
|---|---|
| Medicare Enrollment ID | O20040428000039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558420653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Carole L Strong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073642666 PECOS PAC ID: 1052391612 Enrollment ID: I20040723000297 |
| Provider Name | Elizabeth Mcmahon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447681689 PECOS PAC ID: 2264448422 Enrollment ID: I20060224000213 |
| Provider Name | Kathryn A Snow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730291535 PECOS PAC ID: 0244338580 Enrollment ID: I20070609000036 |
| Provider Name | Robert B Ostroff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477567840 PECOS PAC ID: 6002891165 Enrollment ID: I20080219000425 |
| Provider Name | Enrique Tello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154319416 PECOS PAC ID: 5395816862 Enrollment ID: I20080611000723 |
| Provider Name | Mary L Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932200300 PECOS PAC ID: 3779548664 Enrollment ID: I20100201000728 |
| Provider Name | Daniel C Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568476935 PECOS PAC ID: 2062537657 Enrollment ID: I20100920000863 |
| Provider Name | Michael B Vollmar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922012392 PECOS PAC ID: 9133311830 Enrollment ID: I20101013000969 |
| Provider Name | Karen Orzack Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245343524 PECOS PAC ID: 9032393343 Enrollment ID: I20110412000207 |
| Provider Name | Catherine M Linton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437262706 PECOS PAC ID: 9234126699 Enrollment ID: I20110413000174 |
| Provider Name | Kristin Hale |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1265589881 PECOS PAC ID: 3678797636 Enrollment ID: I20140612001430 |
| Provider Name | Samuel T Wilkinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265736169 PECOS PAC ID: 8729208400 Enrollment ID: I20140930002746 |
| Provider Name | Madonna Fasula |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1053626929 PECOS PAC ID: 9032421797 Enrollment ID: I20150709000229 |
| Provider Name | Kristi-lee Cavallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518303890 PECOS PAC ID: 3476856626 Enrollment ID: I20160121000772 |
| Provider Name | Christina Iovanne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700271962 PECOS PAC ID: 7214227271 Enrollment ID: I20160602001981 |
| Provider Name | Rachel B Katz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912240474 PECOS PAC ID: 5698094167 Enrollment ID: I20160906000624 |
| Provider Name | Brandon Kitay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235549353 PECOS PAC ID: 5799004156 Enrollment ID: I20161028002036 |
| Provider Name | Stefanie Laccone Thach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902140890 PECOS PAC ID: 2365785854 Enrollment ID: I20190524001804 |
| Provider Name | Corinna Lyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487172524 PECOS PAC ID: 8921338021 Enrollment ID: I20191002001368 |
| Provider Name | Nora Proops |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578926283 PECOS PAC ID: 5991099897 Enrollment ID: I20200828001119 |
| Provider Name | Ann T Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801069901 PECOS PAC ID: 9133539323 Enrollment ID: I20201028002855 |
| Provider Name | Kelly Patricia Vanasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912665050 PECOS PAC ID: 2163815150 Enrollment ID: I20220216000829 |
| Provider Name | Anthony J Colombrito |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679722235 PECOS PAC ID: 8224475421 Enrollment ID: I20240323000341 |
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