| Dr Jill Waite, PHD | |
|
Po Box 417, Moodus, CT 06469-0417 | |
| (413) 269-5557 | |
| Not Available |
| Full Name | Dr Jill Waite |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | Po Box 417, Moodus, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992130116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 8815 (Connecticut) | Primary |
| 101YM0800X | Counselor - Mental Health | 2370 (New Hampshire) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Weeks Medical Center | 2769461284 | 58 |
| The Counseling Center Of Nashua Inc | 3274523758 | 158 |
| Brightside Medical Pa | 3678948809 | 78 |
| Entity Name | Weeks Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508819566 PECOS PAC ID: 2769461284 Enrollment ID: O20040719000284 |
| Entity Name | The Counseling Center Of Nashua Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144275389 PECOS PAC ID: 3274523758 Enrollment ID: O20040929000288 |
| Entity Name | Brightside Medical Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230509002124 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jill Waite, PHD Po Box 417, Moodus, CT 06469-0417 Ph: (413) 269-5557 | Dr Jill Waite, PHD Po Box 417, Moodus, CT 06469-0417 Ph: (413) 269-5557 |
Mr. Keith J Murphey, L.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 133 Sillimanville Rd, Moodus, CT 06469 Phone: 860-301-2126 Fax: 860-552-4029 | |
Ms. Elyse Laurie Barker, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 88 Great Hillwood Rd, Moodus, CT 06469 Phone: 860-873-2143 | |
Mrs. Maria Cicero Barber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Rae Palmer Rd, Moodus, CT 06469 Phone: 860-883-8649 | |
April Sozanski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Falls Bashan Rd, Moodus, CT 06469 Phone: 203-913-0390 |