| Transcendere, Llc | |
|
19 Halls Rd Suite 234 Old Lyme CT 06371-1457 | |
| (860) 304-7422 | |
| Not Available |
| Full Name | Transcendere, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 19 Halls Rd, Old Lyme, Connecticut |
| Authorized Official Name and Position | Steven Difilippo (DIRECTOR) |
| Authorized Official Contact | 8603047422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transcendere, Llc Po Box 763 Clinton CT 06413-0763 Ph: (860) 304-7422 | Transcendere, Llc 19 Halls Rd Suite 234 Old Lyme CT 06371-1457 Ph: (860) 304-7422 |
| NPI Number | 1841693074 |
|---|---|
| Provider Enumeration Date | 10/02/2014 |
| Last Update Date | 10/02/2014 |
| Medicare PECOS PAC ID | 6800156902 |
|---|---|
| Medicare Enrollment ID | O20180212000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841693074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Steven J Difilippo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174745350 PECOS PAC ID: 4486836855 Enrollment ID: I20110307000075 |
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