| The Village For Families & Children, Inc. | |
|
1680 Albany Avenue Hartford CT 06105-1001 | |
| (860) 236-4511 | |
| (860) 297-0591 |
| Full Name | The Village For Families & Children, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1680 Albany Avenue, Hartford, Connecticut |
| Authorized Official Name and Position | Hector Glynn (PRESIDENT AND CEO) |
| Authorized Official Contact | 8602364511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Village For Families & Children, Inc. 1680 Albany Avenue Attn: Linda Roderick, Billing Manager Hartford CT 06105-1001 Ph: (860) 882-6408 | The Village For Families & Children, Inc. 1680 Albany Avenue Hartford CT 06105-1001 Ph: (860) 236-4511 |
| NPI Number | 1841362795 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 02/05/2024 |
| Certification Date | 06/03/2022 |
| Medicare PECOS PAC ID | 3072579895 |
|---|---|
| Medicare Enrollment ID | O20041203000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841362795 | NPI | - | NPPES |
| 004040622 | Medicaid | CT | |
| 004255338 | Medicaid | CT |
| Provider Name | Karrie L Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487690418 PECOS PAC ID: 6901837806 Enrollment ID: I20050830000477 |
| Provider Name | Julie E Volpe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033245451 PECOS PAC ID: 3072641182 Enrollment ID: I20100511000926 |
| Provider Name | Matthew P Dickison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467794776 PECOS PAC ID: 6002056223 Enrollment ID: I20130712000046 |
| Provider Name | Mohit Manandhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053624361 PECOS PAC ID: 1456573567 Enrollment ID: I20141105000569 |
| Provider Name | Ramesh K Hemnani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821292392 PECOS PAC ID: 3779805437 Enrollment ID: I20141208001434 |
| Provider Name | Kris Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700935574 PECOS PAC ID: 1153640081 Enrollment ID: I20150428000061 |
| Provider Name | Yanique J Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649638735 PECOS PAC ID: 5799077996 Enrollment ID: I20160708000872 |
| Provider Name | Sarah Messier-smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821496506 PECOS PAC ID: 5597052340 Enrollment ID: I20160922001806 |
| Provider Name | Diana M Cimadon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457620825 PECOS PAC ID: 5799064309 Enrollment ID: I20161122000301 |
| Provider Name | Sanh Angkhavong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962855882 PECOS PAC ID: 8921388026 Enrollment ID: I20161207000929 |
| Provider Name | Scott A Macgregor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902034986 PECOS PAC ID: 1658653449 Enrollment ID: I20170201000399 |
| Provider Name | David L Archibald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023316692 PECOS PAC ID: 0345523072 Enrollment ID: I20170203000717 |
| Provider Name | Melissa D Bellanfante |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588016604 PECOS PAC ID: 9739450784 Enrollment ID: I20170809001527 |
| Provider Name | Jason Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952791543 PECOS PAC ID: 4880969427 Enrollment ID: I20171006000678 |
| Provider Name | Molly Papish |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467908582 PECOS PAC ID: 8527320308 Enrollment ID: I20180314000373 |
| Provider Name | Lorena C Salas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336516442 PECOS PAC ID: 1850631771 Enrollment ID: I20190312003231 |
| Provider Name | Patricia A Devendorf |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1407994221 PECOS PAC ID: 9234479551 Enrollment ID: I20190325001463 |
| Provider Name | Mario Perleche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457913238 PECOS PAC ID: 8527446574 Enrollment ID: I20220602001410 |
| Provider Name | Andrea L Cronin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417607938 PECOS PAC ID: 1557740586 Enrollment ID: I20220622002867 |
| Provider Name | Chinedu Ibemadu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679270979 PECOS PAC ID: 6901262054 Enrollment ID: I20230516003457 |
| Provider Name | Daisy Geathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114624780 PECOS PAC ID: 9032578968 Enrollment ID: I20230710002528 |
| Provider Name | Thais Ortolaza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982390134 PECOS PAC ID: 7315301785 Enrollment ID: I20230919000555 |
| Provider Name | Joyce G Peeples |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114437316 PECOS PAC ID: 7012361595 Enrollment ID: I20231003000481 |
| Provider Name | Alicia J Hopkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427658491 PECOS PAC ID: 0749630150 Enrollment ID: I20231227003299 |
| Provider Name | Jessica Lpc Radcliff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811326002 PECOS PAC ID: 2466803309 Enrollment ID: I20240104004175 |
| Provider Name | Laurel Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003683525 PECOS PAC ID: 0143666263 Enrollment ID: I20240312001997 |
| Provider Name | Leah Rivera-tighe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144616517 PECOS PAC ID: 1153774781 Enrollment ID: I20240326000497 |
| Provider Name | Marta G Kutcher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972871887 PECOS PAC ID: 1557700408 Enrollment ID: I20240411004200 |
| Provider Name | Jodine N Wauchope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265913859 PECOS PAC ID: 6204276751 Enrollment ID: I20240501000080 |
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