| Wheeler Clinic Inc | |
|
91 Northwest Drive Plainville CT 06062 | |
| (888) 793-3500 | |
| (860) 793-3520 |
| Full Name | Wheeler Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 91 Northwest Drive, Plainville, Connecticut |
| Authorized Official Name and Position | Mary H Hess (DIRECTOR RESEARCH DEVELOPEMENT) |
| Authorized Official Contact | 8607934400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wheeler Clinic Inc 91 Northwest Drive Plainville CT 06062 Ph: (888) 793-3500 | Wheeler Clinic Inc 91 Northwest Drive Plainville CT 06062 Ph: (888) 793-3500 |
| NPI Number | 1396750840 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 09/11/2020 |
| Certification Date | 09/11/2020 |
| Medicare PECOS PAC ID | 0345147153 |
|---|---|
| Medicare Enrollment ID | O20031218000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396750840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Laura E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518911387 PECOS PAC ID: 3971574039 Enrollment ID: I20040803000459 |
| Provider Name | Judy A Lydecker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962508275 PECOS PAC ID: 9032162813 Enrollment ID: I20050222000610 |
| Provider Name | Eric F Kelly |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811964810 PECOS PAC ID: 5092744094 Enrollment ID: I20050810000559 |
| Provider Name | Stephenie C Thurber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144209560 PECOS PAC ID: 4183647209 Enrollment ID: I20060104000401 |
| Provider Name | Elizabeth Korn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649495722 PECOS PAC ID: 2668550526 Enrollment ID: I20080418000084 |
| Provider Name | Maria Banevicius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659354827 PECOS PAC ID: 3274606710 Enrollment ID: I20080717000115 |
| Provider Name | Thuraya A Abdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124272950 PECOS PAC ID: 0143381376 Enrollment ID: I20081206000082 |
| Provider Name | Kathleen M Kirwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598797862 PECOS PAC ID: 2365507555 Enrollment ID: I20090224000008 |
| Provider Name | Maura Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871738104 PECOS PAC ID: 6608924527 Enrollment ID: I20090504000350 |
| Provider Name | Carrie A Smail |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881828572 PECOS PAC ID: 7810031465 Enrollment ID: I20100219000312 |
| Provider Name | Teodoro Anderson Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952417081 PECOS PAC ID: 8729119045 Enrollment ID: I20100701000169 |
| Provider Name | Adele Silhavy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992802037 PECOS PAC ID: 7517155906 Enrollment ID: I20101229000907 |
| Provider Name | Anna E Tralli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487708426 PECOS PAC ID: 5092984914 Enrollment ID: I20110811000090 |
| Provider Name | Elaine Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912204504 PECOS PAC ID: 8527237163 Enrollment ID: I20110816000371 |
| Provider Name | Martha S Barcelos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598010928 PECOS PAC ID: 6406004027 Enrollment ID: I20120924000295 |
| Provider Name | David J Barringer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447300397 PECOS PAC ID: 3577703560 Enrollment ID: I20130716000578 |
| Provider Name | Katherine Kirch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396098471 PECOS PAC ID: 6103069133 Enrollment ID: I20130823000526 |
| Provider Name | Kimberly O Drakes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316373665 PECOS PAC ID: 4880828284 Enrollment ID: I20131017000557 |
| Provider Name | Diana E Johnson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1336388032 PECOS PAC ID: 0749412286 Enrollment ID: I20140415001333 |
| Provider Name | Janice A. Reeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144642604 PECOS PAC ID: 0749403475 Enrollment ID: I20140527000282 |
| Provider Name | Onojeta E Ohwevwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023360377 PECOS PAC ID: 9335362037 Enrollment ID: I20140528000617 |
| Provider Name | Danielle Moraes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922420330 PECOS PAC ID: 3678889508 Enrollment ID: I20150908002495 |
| Provider Name | James Deloughery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699100198 PECOS PAC ID: 9335457498 Enrollment ID: I20151009001064 |
| Provider Name | Sallene S. Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952672842 PECOS PAC ID: 6901102664 Enrollment ID: I20160308000179 |
| Provider Name | Michael Paul Twist |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386815025 PECOS PAC ID: 1355599838 Enrollment ID: I20160324000488 |
| Provider Name | Rebecca Eleck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083890065 PECOS PAC ID: 6800065467 Enrollment ID: I20161010001204 |
| Provider Name | Kimberly E Holyst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255577672 PECOS PAC ID: 0143501262 Enrollment ID: I20170104001378 |
| Provider Name | Rebecca S Kreuzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285006940 PECOS PAC ID: 2365725579 Enrollment ID: I20170214002140 |
| Provider Name | Naomi R Douglas Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487195863 PECOS PAC ID: 4880970672 Enrollment ID: I20170410001814 |
| Provider Name | Jennifer Pasion-blocker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821343237 PECOS PAC ID: 0042589889 Enrollment ID: I20170710002924 |
| Provider Name | Courtney Pope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427472620 PECOS PAC ID: 7517232234 Enrollment ID: I20171005003437 |
| Provider Name | Adam B Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447770011 PECOS PAC ID: 3870868490 Enrollment ID: I20171009000775 |
| Provider Name | Avery Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467871079 PECOS PAC ID: 2961769153 Enrollment ID: I20171124000094 |
| Provider Name | Jennifer Lanza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184971798 PECOS PAC ID: 4284993080 Enrollment ID: I20180124003493 |
| Provider Name | Jade Bray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033490735 PECOS PAC ID: 7315207396 Enrollment ID: I20180213000514 |
| Provider Name | Anthony Harry Debe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710304571 PECOS PAC ID: 8123247939 Enrollment ID: I20180301000026 |
| Provider Name | Alexandra N Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265665244 PECOS PAC ID: 1759646623 Enrollment ID: I20180523002380 |
| Provider Name | Richard J Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164574828 PECOS PAC ID: 4880942812 Enrollment ID: I20180807002145 |
| Provider Name | Mira Mcdermott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124400916 PECOS PAC ID: 2567711625 Enrollment ID: I20180822002251 |
| Provider Name | Elizabeth A Lawton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881172500 PECOS PAC ID: 1759632508 Enrollment ID: I20180918003666 |
| Provider Name | Mary M Colburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679066948 PECOS PAC ID: 5597018606 Enrollment ID: I20181018002720 |
| Provider Name | Caitlin Marie Minihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265923288 PECOS PAC ID: 7719230267 Enrollment ID: I20181030001978 |
| Provider Name | Maria Elena Slajda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194209213 PECOS PAC ID: 3870847932 Enrollment ID: I20181108002477 |
| Provider Name | Jessica Masterson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578702619 PECOS PAC ID: 9436381035 Enrollment ID: I20181116000313 |
| Provider Name | Suzanne Viger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760957526 PECOS PAC ID: 8628322278 Enrollment ID: I20181116001661 |
| Provider Name | Danielle Lynn Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275034480 PECOS PAC ID: 5991044935 Enrollment ID: I20190308000998 |
| Provider Name | Teresa Domack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235540386 PECOS PAC ID: 6204050412 Enrollment ID: I20190405000728 |
| Provider Name | Ericka Gardener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942720420 PECOS PAC ID: 4789926494 Enrollment ID: I20190430000496 |
| Provider Name | Katherine Ducharme |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366802779 PECOS PAC ID: 0648512202 Enrollment ID: I20190430002637 |
| Provider Name | Mojisola Gladys Ukabi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629206743 PECOS PAC ID: 8123342961 Enrollment ID: I20190506002528 |
| Provider Name | Joan Telemaque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619447935 PECOS PAC ID: 9234462649 Enrollment ID: I20190617002020 |
| Provider Name | Benjamin Latner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356802219 PECOS PAC ID: 4082948278 Enrollment ID: I20190621000585 |
| Provider Name | Kelly Katara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437710894 PECOS PAC ID: 5597092205 Enrollment ID: I20190802002149 |
| Provider Name | Daniel Melchor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528412251 PECOS PAC ID: 7517294861 Enrollment ID: I20190808001860 |
| Provider Name | Michelle Leece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174175657 PECOS PAC ID: 7719215540 Enrollment ID: I20190819000427 |
| Provider Name | Jena R Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497315956 PECOS PAC ID: 5890023832 Enrollment ID: I20190828003304 |
| Provider Name | Samantha J Dippolino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952748634 PECOS PAC ID: 6406136035 Enrollment ID: I20190828003466 |
| Provider Name | Whitney Wilfred |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013254291 PECOS PAC ID: 1254766603 Enrollment ID: I20200114001023 |
| Provider Name | Michelle Rumery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154972123 PECOS PAC ID: 9739514712 Enrollment ID: I20200122000180 |
| Provider Name | Hanna Profeta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851664965 PECOS PAC ID: 7911332937 Enrollment ID: I20200122001724 |
| Provider Name | Matthew J Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598047821 PECOS PAC ID: 6709211618 Enrollment ID: I20200123001572 |
| Provider Name | Cassandra Aamodt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801355219 PECOS PAC ID: 6507291333 Enrollment ID: I20200123003151 |
| Provider Name | Kami Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902334402 PECOS PAC ID: 1759717267 Enrollment ID: I20200131001283 |
| Provider Name | Dana Ferri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639607641 PECOS PAC ID: 7012343528 Enrollment ID: I20200131001303 |
| Provider Name | Stephanie Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700337292 PECOS PAC ID: 0941636179 Enrollment ID: I20200207000523 |
| Provider Name | Allison Pons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730739111 PECOS PAC ID: 3274969233 Enrollment ID: I20200211001055 |
| Provider Name | Julia Echevarria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023369626 PECOS PAC ID: 2466889563 Enrollment ID: I20200303000283 |
| Provider Name | Marissa Corry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821480112 PECOS PAC ID: 2365873684 Enrollment ID: I20200520001537 |
| Provider Name | Sarah Whalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467072033 PECOS PAC ID: 8729409974 Enrollment ID: I20200527000288 |
| Provider Name | Barbara Szajda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265631980 PECOS PAC ID: 8628490380 Enrollment ID: I20200625001343 |
| Provider Name | Boris Enowitch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891163127 PECOS PAC ID: 7416375589 Enrollment ID: I20200922002131 |
| Provider Name | James Lammlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831739903 PECOS PAC ID: 4981017555 Enrollment ID: I20201229001885 |
| Provider Name | Katherine Sasso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720454028 PECOS PAC ID: 0143634303 Enrollment ID: I20210128002980 |
| Provider Name | Alicia Morrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326634023 PECOS PAC ID: 6103232616 Enrollment ID: I20210309000183 |
| Provider Name | Kerri Sisson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942583141 PECOS PAC ID: 0244647725 Enrollment ID: I20210330000239 |
| Provider Name | Judy Earlington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831610526 PECOS PAC ID: 6406264746 Enrollment ID: I20210426001981 |
| Provider Name | Abigail D'onofrio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386111052 PECOS PAC ID: 2668880857 Enrollment ID: I20210428002234 |
| Provider Name | Gabrielle Deford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457832925 PECOS PAC ID: 6709295991 Enrollment ID: I20210428002491 |
| Provider Name | Rachel L Dalton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356983019 PECOS PAC ID: 6103235353 Enrollment ID: I20210429001871 |
| Provider Name | Brittany Diorio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831692383 PECOS PAC ID: 3375952294 Enrollment ID: I20210505002937 |
| Provider Name | Janet Anderson Ray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003021064 PECOS PAC ID: 6507945334 Enrollment ID: I20210510001026 |
| Provider Name | Katherine Moreau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841444031 PECOS PAC ID: 7810392727 Enrollment ID: I20210816001777 |
| Provider Name | Robyn Stoll-lyons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396096145 PECOS PAC ID: 9739584558 Enrollment ID: I20210817002640 |
| Provider Name | Keshia Francis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326594573 PECOS PAC ID: 4486050853 Enrollment ID: I20210909003037 |
| Provider Name | Andrew Bessette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710558762 PECOS PAC ID: 9739585100 Enrollment ID: I20210909003092 |
| Provider Name | Cathleen Nowak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346712031 PECOS PAC ID: 8325446263 Enrollment ID: I20211007001769 |
| Provider Name | Rachel Greenholt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619518404 PECOS PAC ID: 0446658835 Enrollment ID: I20211015001699 |
| Provider Name | Caitlin Hickey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841969326 PECOS PAC ID: 7315335676 Enrollment ID: I20211019003161 |
| Provider Name | Adilsa Encarnacao |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144709585 PECOS PAC ID: 0042608739 Enrollment ID: I20211029000699 |
| Provider Name | Jeanne Rice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841836764 PECOS PAC ID: 3870981210 Enrollment ID: I20211103003350 |
| Provider Name | Garrett Whittaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174149462 PECOS PAC ID: 3274922125 Enrollment ID: I20211115000805 |
| Provider Name | Daniel Difiore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437621430 PECOS PAC ID: 3678962214 Enrollment ID: I20211119001139 |
| Provider Name | Emily Brede |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124673520 PECOS PAC ID: 2567852684 Enrollment ID: I20211204000083 |
| Provider Name | Corrie Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912673971 PECOS PAC ID: 7810387933 Enrollment ID: I20211204000141 |
| Provider Name | Carly Vasylyk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205477155 PECOS PAC ID: 3072904580 Enrollment ID: I20211216002262 |
| Provider Name | Vincent Sapone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205468915 PECOS PAC ID: 9830580398 Enrollment ID: I20211217000990 |
| Provider Name | Misty Delciampo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528725892 PECOS PAC ID: 8022409168 Enrollment ID: I20211227000945 |
| Provider Name | Kelsey Laudano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487290193 PECOS PAC ID: 4385035427 Enrollment ID: I20211227001037 |
| Provider Name | Jessica Bialecki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053966101 PECOS PAC ID: 7911398920 Enrollment ID: I20211230001701 |
| Provider Name | Michal B Klau-stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386288850 PECOS PAC ID: 2163814765 Enrollment ID: I20220111001251 |
| Provider Name | Malgorzata K Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396127387 PECOS PAC ID: 4486995586 Enrollment ID: I20220207002442 |
| Provider Name | Breanna Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255861530 PECOS PAC ID: 2961898879 Enrollment ID: I20220401000565 |
| Provider Name | Maegan Monterose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376293316 PECOS PAC ID: 2769878198 Enrollment ID: I20220411002187 |
| Provider Name | Stephanie Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922343003 PECOS PAC ID: 3577941871 Enrollment ID: I20220527000127 |
| Provider Name | Julie Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255073516 PECOS PAC ID: 1052790706 Enrollment ID: I20220627001339 |
| Provider Name | Justine Cornelio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194229781 PECOS PAC ID: 8628457314 Enrollment ID: I20220627003116 |
| Provider Name | Victoria Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447805577 PECOS PAC ID: 7517348543 Enrollment ID: I20220721001546 |
| Provider Name | Michelle Post |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376101097 PECOS PAC ID: 7113309469 Enrollment ID: I20220802003953 |
| Provider Name | Jozefa A. Cheman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437456068 PECOS PAC ID: 5395133003 Enrollment ID: I20220818001787 |
| Provider Name | Gina Gates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790306967 PECOS PAC ID: 0547645798 Enrollment ID: I20220923002011 |
| Provider Name | Abigail Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053947762 PECOS PAC ID: 7012393226 Enrollment ID: I20220926001416 |
| Provider Name | Kimberly Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477017028 PECOS PAC ID: 1759767635 Enrollment ID: I20220929002173 |
| Provider Name | Serrita Roper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194245993 PECOS PAC ID: 0648656470 Enrollment ID: I20221003001490 |
| Provider Name | Samantha Boisvert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578195780 PECOS PAC ID: 5698144145 Enrollment ID: I20221206001230 |
| Provider Name | Freddie Dayao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447967559 PECOS PAC ID: 8022489699 Enrollment ID: I20230118000571 |
| Provider Name | Joselyn Romero Montalvo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477021145 PECOS PAC ID: 6002289972 Enrollment ID: I20230224001508 |
| Provider Name | Lynnell Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053904466 PECOS PAC ID: 2365816535 Enrollment ID: I20230330000944 |
| Provider Name | Deborah Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578270641 PECOS PAC ID: 9436524378 Enrollment ID: I20230407000554 |
| Provider Name | Christina Amor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811669351 PECOS PAC ID: 3072978501 Enrollment ID: I20230504002874 |
| Provider Name | Portia Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801444500 PECOS PAC ID: 1658737515 Enrollment ID: I20230518001750 |
| Provider Name | Marianne Knoegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083262653 PECOS PAC ID: 3678939543 Enrollment ID: I20230518002175 |
| Provider Name | Lily Rosenthal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538719018 PECOS PAC ID: 9335505163 Enrollment ID: I20230519001312 |
| Provider Name | Sonia Roe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396380564 PECOS PAC ID: 8426414970 Enrollment ID: I20230525002023 |
| Provider Name | Lindsey Massicotte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073144101 PECOS PAC ID: 1355708835 Enrollment ID: I20230530001425 |
| Provider Name | Shavonne Sims |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013598465 PECOS PAC ID: 9234596289 Enrollment ID: I20230606002423 |
| Provider Name | Aaisma Regmi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619580529 PECOS PAC ID: 8729446778 Enrollment ID: I20230622003038 |
| Provider Name | Samantha Aldridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104315001 PECOS PAC ID: 1557723293 Enrollment ID: I20230814000696 |
| Provider Name | Theresa Casarella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306425707 PECOS PAC ID: 6002279965 Enrollment ID: I20230825001854 |
| Provider Name | Lisa Paolini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932876562 PECOS PAC ID: 5294199493 Enrollment ID: I20230906002854 |
| Provider Name | Amie Miron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568190098 PECOS PAC ID: 6002270287 Enrollment ID: I20230907001732 |
| Provider Name | Joshua Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033773569 PECOS PAC ID: 3173856713 Enrollment ID: I20230911001546 |
| Provider Name | Alexandra Lynn Stanford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841854593 PECOS PAC ID: 3678806957 Enrollment ID: I20230919001949 |
| Provider Name | Taryn Kegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508377342 PECOS PAC ID: 2668827312 Enrollment ID: I20231016002370 |
| Provider Name | Alexandra Martone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073285029 PECOS PAC ID: 4587010764 Enrollment ID: I20231024002669 |
| Provider Name | Lasharon Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669046926 PECOS PAC ID: 4981051901 Enrollment ID: I20231114000593 |
| Provider Name | Johanna Moreno Guerrero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922602812 PECOS PAC ID: 6901254358 Enrollment ID: I20231127001599 |
| Provider Name | Claire Travis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457727430 PECOS PAC ID: 6204286503 Enrollment ID: I20231228003532 |
| Provider Name | Taylor Carson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598309825 PECOS PAC ID: 7810347119 Enrollment ID: I20231228003582 |
| Provider Name | Jaclyn Marie Czerniak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487078762 PECOS PAC ID: 4183074487 Enrollment ID: I20231228003623 |
| Provider Name | Christine Marie Grant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629336870 PECOS PAC ID: 6800246109 Enrollment ID: I20231228003666 |
| Provider Name | Julia Marie Napoletano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467704130 PECOS PAC ID: 2961852025 Enrollment ID: I20240102002321 |
| Provider Name | Alicia Kendra Hill-levy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346716859 PECOS PAC ID: 4880045855 Enrollment ID: I20240104001057 |
| Provider Name | Tiffany Williams-parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609284405 PECOS PAC ID: 8224489117 Enrollment ID: I20240104002311 |
| Provider Name | Alyssa Lynn Boynton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801322623 PECOS PAC ID: 3072964907 Enrollment ID: I20240104003829 |
| Provider Name | Priscilla Danita Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043805252 PECOS PAC ID: 3476904244 Enrollment ID: I20240105000759 |
| Provider Name | Shelbi Nadeau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194308585 PECOS PAC ID: 7315398138 Enrollment ID: I20240105002556 |
| Provider Name | Kimberly Jean Pepice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770811028 PECOS PAC ID: 8426400144 Enrollment ID: I20240118002313 |
| Provider Name | Frances J Mceneany |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639755853 PECOS PAC ID: 7416300819 Enrollment ID: I20240201003018 |
| Provider Name | Sarah Goyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063903755 PECOS PAC ID: 1658714555 Enrollment ID: I20240207003688 |
| Provider Name | Karen Beth Rollins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760145692 PECOS PAC ID: 0749623148 Enrollment ID: I20240213000196 |
| Provider Name | Shanika Mckoy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427672641 PECOS PAC ID: 0042654162 Enrollment ID: I20240216002026 |
| Provider Name | Lauren Stewart |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326788472 PECOS PAC ID: 4183068109 Enrollment ID: I20240219000831 |
| Provider Name | Zachary Norman Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275275273 PECOS PAC ID: 6709220312 Enrollment ID: I20240221003610 |
| Provider Name | Aiesha Phelmetto |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942720438 PECOS PAC ID: 8224473525 Enrollment ID: I20240227000362 |
| Provider Name | Susan Mason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548597172 PECOS PAC ID: 8325483530 Enrollment ID: I20240228000096 |
| Provider Name | Sharon Lorraine Sakalas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740514025 PECOS PAC ID: 3971948043 Enrollment ID: I20240228002347 |
| Provider Name | Christina Perez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578926432 PECOS PAC ID: 9739524521 Enrollment ID: I20240304000256 |
| Provider Name | Alisha Marie Soto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629634712 PECOS PAC ID: 8224473889 Enrollment ID: I20240305002588 |
| Provider Name | Sarah Valente Quirk |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184799330 PECOS PAC ID: 7810333218 Enrollment ID: I20240307002579 |
| Provider Name | Richard Anthony Michael Saxton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598715815 PECOS PAC ID: 7416393509 Enrollment ID: I20240312001041 |
| Provider Name | Kimberly Jewell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265966493 PECOS PAC ID: 7517310659 Enrollment ID: I20240329001165 |
| Provider Name | Gina Catherine Folino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609449081 PECOS PAC ID: 8022456607 Enrollment ID: I20240402000730 |
| Provider Name | Nicole Elizabeth Marchitto |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932701240 PECOS PAC ID: 0143668376 Enrollment ID: I20240405002348 |
| Provider Name | Caitlyn Gabrielle Rebeschi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306570700 PECOS PAC ID: 9537507405 Enrollment ID: I20240411000358 |
| Provider Name | Ally Scaramozza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487262366 PECOS PAC ID: 0042659633 Enrollment ID: I20240416000816 |
| Provider Name | Tracey Les Pierre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881094555 PECOS PAC ID: 0648619742 Enrollment ID: I20240423001602 |
| Provider Name | Dina Nathan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730845959 PECOS PAC ID: 7416397476 Enrollment ID: I20240424003877 |
| Provider Name | Serena Morrison-monteleone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922691963 PECOS PAC ID: 4183064827 Enrollment ID: I20240429003280 |
| Provider Name | Lenora Woods |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134793037 PECOS PAC ID: 2466892963 Enrollment ID: I20240501001927 |
| Provider Name | Rebecca Manzano |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518428655 PECOS PAC ID: 8628418159 Enrollment ID: I20240501003181 |
| Provider Name | Christina Ehrenreich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265095749 PECOS PAC ID: 6608216031 Enrollment ID: I20240501003320 |
| Provider Name | Jessica Arnold |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437597069 PECOS PAC ID: 9931549300 Enrollment ID: I20240502000363 |
| Provider Name | Joel S Meiners |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811229669 PECOS PAC ID: 2769834290 Enrollment ID: I20240603000533 |
| Provider Name | Scott I Berman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922471333 PECOS PAC ID: 1850681719 Enrollment ID: I20240606002770 |
| Provider Name | Dominique Larosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831610211 PECOS PAC ID: 5092257907 Enrollment ID: I20240606003639 |
Associates In Psychotherapy & Psychiatry, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 East St, Suite 304, Plainville, CT 06062 Phone: 860-410-1877 Fax: 860-410-1878 | |
Cara Newton, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Broad St Ste 2, Plainville, CT 06062 Phone: 203-808-0881 | |
Cara Newton, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Broad St Ste 2, Plainville, CT 06062 Phone: 203-808-0881 | |
Omni Healing Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Maple St, Plainville, CT 06062 Phone: 860-992-6594 | |
Compassionate Behaviors, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Carol Dr, Plainville, CT 06062 Phone: 203-927-4013 | |
Keyndra Lewis Lmft Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Broad St, Plainville, CT 06062 Phone: 475-329-0645 | |
The Center For Emotional Healing, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 East Street, Unit 1, Plainville, CT 06062 Phone: 860-368-8665 |