| The Neurovation Center, Llc | |
|
13 Berkshire Rd Unit 1 Sandy Hook CT 06482-1361 | |
| (203) 491-2577 | |
| Not Available |
| Full Name | The Neurovation Center, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 13 Berkshire Rd, Sandy Hook, Connecticut |
| Authorized Official Name and Position | Jeffrey Schutz (OWNER) |
| Authorized Official Contact | 2034825464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Neurovation Center, Llc 13 Berkshire Rd Unit 1 Sandy Hook CT 06482-1361 Ph: (203) 491-2577 | The Neurovation Center, Llc 13 Berkshire Rd Unit 1 Sandy Hook CT 06482-1361 Ph: (203) 491-2577 |
| NPI Number | 1932537297 |
|---|---|
| Provider Enumeration Date | 10/24/2013 |
| Last Update Date | 03/03/2017 |
| Medicare PECOS PAC ID | 2961762000 |
|---|---|
| Medicare Enrollment ID | O20180209000123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932537297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 001618 (Connecticut) | Primary |
| Provider Name | Kimberly Worthington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255810727 PECOS PAC ID: 5991032740 Enrollment ID: I20190816000584 |
| Provider Name | Colleen Digioia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477157477 PECOS PAC ID: 2365847159 Enrollment ID: I20210817001218 |
| Provider Name | Lauren E Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912596511 PECOS PAC ID: 7618328659 Enrollment ID: I20240104000258 |
| Provider Name | Meleah Dement |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003335480 PECOS PAC ID: 6608211867 Enrollment ID: I20240227002713 |
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