| Waterstone Counseling Center, Llc | |
|
86 Bradley Rd Ste 2 Madison CT 06443-2644 | |
| (203) 245-0412 | |
| (203) 245-0572 |
| Full Name | Waterstone Counseling Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 86 Bradley Rd Ste 2, Madison, Connecticut |
| Authorized Official Name and Position | Thomas Abbenante (OWNER) |
| Authorized Official Contact | 2032450412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterstone Counseling Center, Llc 86 Bradley Rd Ste 2 Madison CT 06443-2644 Ph: (203) 245-0412 | Waterstone Counseling Center, Llc 86 Bradley Rd Ste 2 Madison CT 06443-2644 Ph: (203) 245-0412 |
| NPI Number | 1851767933 |
|---|---|
| Provider Enumeration Date | 08/12/2015 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Medicare PECOS PAC ID | 0749681070 |
|---|---|
| Medicare Enrollment ID | O20210624001264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851767933 | NPI | - | NPPES |
| Provider Name | Richard R Goulding |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952496440 PECOS PAC ID: 8224064548 Enrollment ID: I20080606000212 |
| Provider Name | Kathy Bryson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700804044 PECOS PAC ID: 3274708193 Enrollment ID: I20111205000507 |
| Provider Name | Thomas J Abbenante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821232034 PECOS PAC ID: 6901110295 Enrollment ID: I20150730012343 |
| Provider Name | Rachel Manemeit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043378383 PECOS PAC ID: 2466743364 Enrollment ID: I20160623002432 |
| Provider Name | Mark Nadolski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851607030 PECOS PAC ID: 7113205832 Enrollment ID: I20161101001679 |
| Provider Name | Amanda Ciampini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689117152 PECOS PAC ID: 1658761242 Enrollment ID: I20211215000023 |
| Provider Name | Breann Artes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982243341 PECOS PAC ID: 9830581362 Enrollment ID: I20220113001085 |
| Provider Name | Erica Kyne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861905226 PECOS PAC ID: 7719379510 Enrollment ID: I20220127001017 |
| Provider Name | Aaisma Regmi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619580529 PECOS PAC ID: 8729446778 Enrollment ID: I20230622003038 |
| Provider Name | Gina L Dutil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588235543 PECOS PAC ID: 1850734583 Enrollment ID: I20240208004086 |
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