| Spectrum Psychotherapy Centers, Llc | |
|
41 Mechanic St Windsor CT 06095-2545 | |
| (860) 246-7999 | |
| (860) 688-0004 |
| Full Name | Spectrum Psychotherapy Centers, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 41 Mechanic St, Windsor, Connecticut |
| Authorized Official Name and Position | Christopher Penta (PRESIDENT) |
| Authorized Official Contact | 8602467999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Psychotherapy Centers, Llc 30 Maple Ave Windsor CT 06095-2922 Ph: (860) 246-7999 | Spectrum Psychotherapy Centers, Llc 41 Mechanic St Windsor CT 06095-2545 Ph: (860) 246-7999 |
| NPI Number | 1295748689 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 10/02/2014 |
| Medicare PECOS PAC ID | 8921123589 |
|---|---|
| Medicare Enrollment ID | O20100920000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295748689 | NPI | - | NPPES |
| 2490549 | Other | CT | AETNA US HEALTHCARE |
| ANC1198 | Other | CT | OXFORD HEALTH PLANS |
| 252147 | Other | CT | MHN |
| Provider Name | Michelle C Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578604666 PECOS PAC ID: 7911976675 Enrollment ID: I20040929000451 |
| Provider Name | Chanel C Hildebrand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699102822 PECOS PAC ID: 7517213077 Enrollment ID: I20180713000992 |
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