| United Services Inc | |
|
1007 N Main St Dayville CT 06241-2123 | |
| (860) 774-2020 | |
| (860) 774-0826 |
| Full Name | United Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1007 N Main St, Dayville, Connecticut |
| Authorized Official Name and Position | Diane L Manning (PRESIDENT/CEO) |
| Authorized Official Contact | 8607742020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Services Inc 1007 N Main St Dayville CT 06241-2170 Ph: (860) 774-2020 | United Services Inc 1007 N Main St Dayville CT 06241-2123 Ph: (860) 774-2020 |
| NPI Number | 1063413011 |
|---|---|
| Provider Enumeration Date | 08/02/2005 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Medicare PECOS PAC ID | 8426042698 |
|---|---|
| Medicare Enrollment ID | O20040412000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063413011 | NPI | - | NPPES |
| 004040564 | Medicaid | CT | |
| 77ABH0043CT01 | Other | BCBS | |
| 172895 | Other | MHN |
| Provider Name | Josephine A Maben |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558385963 PECOS PAC ID: 4981698180 Enrollment ID: I20040412000678 |
| Provider Name | Lisabeth Pelissier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245456433 PECOS PAC ID: 1658366307 Enrollment ID: I20040420000881 |
| Provider Name | Beth H Villodas |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417049313 PECOS PAC ID: 9133110950 Enrollment ID: I20040520000950 |
| Provider Name | Alexander P Miano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932211612 PECOS PAC ID: 2961488127 Enrollment ID: I20040628000996 |
| Provider Name | Ciro Massa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497834428 PECOS PAC ID: 4385614379 Enrollment ID: I20040728000117 |
| Provider Name | Venugopal Thangada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477572303 PECOS PAC ID: 4082668579 Enrollment ID: I20050308000712 |
| Provider Name | Salvatore Iacobello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225128333 PECOS PAC ID: 1052338183 Enrollment ID: I20051028000144 |
| Provider Name | Laura L Catania |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952329856 PECOS PAC ID: 8628165818 Enrollment ID: I20071107000110 |
| Provider Name | Tina Lekacos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437183985 PECOS PAC ID: 3678657798 Enrollment ID: I20080228000304 |
| Provider Name | Melissa Ann Gobin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275733594 PECOS PAC ID: 4284779281 Enrollment ID: I20100302000437 |
| Provider Name | Erin Gardner-flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346416435 PECOS PAC ID: 6103003694 Enrollment ID: I20110609000620 |
| Provider Name | Lisa Odgren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518136803 PECOS PAC ID: 2769676832 Enrollment ID: I20110713000226 |
| Provider Name | Jennifer Parcinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891729448 PECOS PAC ID: 6406028729 Enrollment ID: I20111011000200 |
| Provider Name | Christine A Smiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811029499 PECOS PAC ID: 3072562172 Enrollment ID: I20120515000256 |
| Provider Name | Jeffrey A Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023178605 PECOS PAC ID: 1052575644 Enrollment ID: I20120612000038 |
| Provider Name | Sarah Jane De Asis Vargas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225293749 PECOS PAC ID: 7214193275 Enrollment ID: I20120720000006 |
| Provider Name | Marlene Marie Dolat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255600326 PECOS PAC ID: 2264684349 Enrollment ID: I20121219000168 |
| Provider Name | Jessica M Gagnon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194038174 PECOS PAC ID: 2163649575 Enrollment ID: I20140808000364 |
| Provider Name | Crystal Mackinnon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275812372 PECOS PAC ID: 4789803537 Enrollment ID: I20140910000914 |
| Provider Name | Kimberly L Milaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740687466 PECOS PAC ID: 8224351432 Enrollment ID: I20141219000512 |
| Provider Name | Lisa Estelle White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891162707 PECOS PAC ID: 2961702022 Enrollment ID: I20151123001292 |
| Provider Name | Daniel C. Carini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265839450 PECOS PAC ID: 8224328182 Enrollment ID: I20160606000345 |
| Provider Name | Jerri A Levenson Hamby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124483144 PECOS PAC ID: 4587951900 Enrollment ID: I20160928000700 |
| Provider Name | Munirat Omodele Adebimpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457876716 PECOS PAC ID: 0042585010 Enrollment ID: I20171002003277 |
| Provider Name | Leah Mcgennis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356742712 PECOS PAC ID: 9335405794 Enrollment ID: I20171117002186 |
| Provider Name | Kathleen K Mackenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942715818 PECOS PAC ID: 0547520199 Enrollment ID: I20180131000424 |
| Provider Name | Amy Roe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275934226 PECOS PAC ID: 1850654286 Enrollment ID: I20180417000593 |
| Provider Name | Shelby R Champagne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114332434 PECOS PAC ID: 0840541991 Enrollment ID: I20180928000975 |
| Provider Name | Leah Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326416975 PECOS PAC ID: 9638414048 Enrollment ID: I20181212002999 |
| Provider Name | Warren Joseph Avery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881915973 PECOS PAC ID: 6002155470 Enrollment ID: I20190228002893 |
| Provider Name | Thamara Jonathas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750894275 PECOS PAC ID: 8224386701 Enrollment ID: I20190301001600 |
| Provider Name | Samer Ashour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801367495 PECOS PAC ID: 5294075602 Enrollment ID: I20190321002470 |
| Provider Name | Yuri Troshin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487205712 PECOS PAC ID: 2163852062 Enrollment ID: I20200416001954 |
| Provider Name | Wioletta Hryszan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720305113 PECOS PAC ID: 7214367960 Enrollment ID: I20200420002304 |
| Provider Name | Amanda Dondero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477902088 PECOS PAC ID: 5294166609 Enrollment ID: I20200518002843 |
| Provider Name | Adam Thomas Gilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518493634 PECOS PAC ID: 0648691360 Enrollment ID: I20200605000624 |
| Provider Name | Melissa Demma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235367772 PECOS PAC ID: 2365791738 Enrollment ID: I20200709001702 |
| Provider Name | Akemi Sakurai-krakowiak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023560547 PECOS PAC ID: 1850714528 Enrollment ID: I20200714001295 |
| Provider Name | Jessica Dimock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184143513 PECOS PAC ID: 3173942075 Enrollment ID: I20200925001752 |
| Provider Name | Bryan Keith Salai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033730452 PECOS PAC ID: 2769898147 Enrollment ID: I20210310000020 |
| Provider Name | Nancy U Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942895107 PECOS PAC ID: 4486060514 Enrollment ID: I20210315002012 |
| Provider Name | Karen Graf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851053292 PECOS PAC ID: 2567850449 Enrollment ID: I20211026001352 |
| Provider Name | Janay Gonzales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033776828 PECOS PAC ID: 9234513631 Enrollment ID: I20220902002068 |
| Provider Name | Melanie Bellizzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891387304 PECOS PAC ID: 7315318169 Enrollment ID: I20230113002125 |
| Provider Name | Elaine M Gazzola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831670157 PECOS PAC ID: 7618333246 Enrollment ID: I20230523003152 |
| Provider Name | Jenna Clavette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053086652 PECOS PAC ID: 6406215722 Enrollment ID: I20230705002625 |
| Provider Name | Angie Botero Castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841875366 PECOS PAC ID: 5890157440 Enrollment ID: I20230814001323 |
| Provider Name | Melanie A Hertzfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669158085 PECOS PAC ID: 1456714682 Enrollment ID: I20230905003684 |
| Provider Name | Rebecca Angeloff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679242614 PECOS PAC ID: 6103271317 Enrollment ID: I20231009000499 |
| Provider Name | Alexandra Lauren Gottier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689128548 PECOS PAC ID: 0840588364 Enrollment ID: I20231109002236 |
| Provider Name | Melissa Munger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962079210 PECOS PAC ID: 4981051083 Enrollment ID: I20231110002782 |
| Provider Name | Chelsea Teasdale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568818896 PECOS PAC ID: 8022468438 Enrollment ID: I20231227003241 |
| Provider Name | Jennifer Lynn Robichaud |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922398270 PECOS PAC ID: 9335591007 Enrollment ID: I20240118000490 |
| Provider Name | Kristina Karin Glaude |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669731113 PECOS PAC ID: 2163874801 Enrollment ID: I20240118002645 |
| Provider Name | Luke Dery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518458637 PECOS PAC ID: 4981057056 Enrollment ID: I20240125002092 |
| Provider Name | Lynne Vergalitto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639726490 PECOS PAC ID: 5597108597 Enrollment ID: I20240207000297 |
| Provider Name | Roger G. Marinelli |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780291260 PECOS PAC ID: 0840638938 Enrollment ID: I20240409002539 |
| Provider Name | Samantha Brooke Hugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275165268 PECOS PAC ID: 5294175741 Enrollment ID: I20240501000103 |
Gina M. Mills, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 329 Ledge Rd, Dayville, CT 06241 Phone: 860-516-5672 Fax: 888-233-4694 | |
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