| Community Mental Health Affiliates Inc | |
|
233 Main St New Britain CT 06051-4204 | |
| (860) 826-1358 | |
| (860) 229-8886 |
| Full Name | Community Mental Health Affiliates Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 233 Main St, New Britain, Connecticut |
| Authorized Official Name and Position | Raymond J Gorman (PRESIDENT & CEO) |
| Authorized Official Contact | 8608261358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Mental Health Affiliates Inc 233 Main St New Britain CT 06051-4204 Ph: (860) 826-1358 | Community Mental Health Affiliates Inc 233 Main St New Britain CT 06051-4204 Ph: (860) 826-1358 |
| NPI Number | 1174624423 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Medicare PECOS PAC ID | 3375431968 |
|---|---|
| Medicare Enrollment ID | O20040305000722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174624423 | NPI | - | NPPES |
| 004123650 | Medicaid | CT | |
| 004161725 | Medicaid | CT | |
| 008043474 | Medicaid | CT | |
| 77ABH0015CT01 | Other | CT | ANTHEM BCBS PROVIDER # |
| 008049178 | Medicaid | CT |
| Provider Name | Sreedevi D Nampoothiri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760525943 PECOS PAC ID: 9638081839 Enrollment ID: I20031105000427 |
| Provider Name | Edgardo D Lorenzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073555744 PECOS PAC ID: 2769474279 Enrollment ID: I20040402000133 |
| Provider Name | Todd H.w. Pinter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174657365 PECOS PAC ID: 5496708521 Enrollment ID: I20050301000230 |
| Provider Name | Michael E Higgison |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1437137882 PECOS PAC ID: 0840239109 Enrollment ID: I20050427000457 |
| Provider Name | John A Nazarian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952311805 PECOS PAC ID: 1456379908 Enrollment ID: I20051103000661 |
| Provider Name | Michael C Probert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720178130 PECOS PAC ID: 0244231009 Enrollment ID: I20070122000156 |
| Provider Name | Laura Jayne Kuperman Corwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609016112 PECOS PAC ID: 6507919743 Enrollment ID: I20090805000295 |
| Provider Name | Manzoor M Usman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346361714 PECOS PAC ID: 8123142684 Enrollment ID: I20100904000027 |
| Provider Name | Bozena M Padykula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164730032 PECOS PAC ID: 7517152358 Enrollment ID: I20101106000001 |
| Provider Name | Vamsi K Koneru |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598051591 PECOS PAC ID: 6002084787 Enrollment ID: I20110725000210 |
| Provider Name | Miriam L Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922366178 PECOS PAC ID: 3678736170 Enrollment ID: I20120521000273 |
| Provider Name | Alyssa D Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922447515 PECOS PAC ID: 5698061331 Enrollment ID: I20160907001180 |
| Provider Name | Amanda L Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194162719 PECOS PAC ID: 4082995816 Enrollment ID: I20170110000365 |
| Provider Name | Molly E Satalino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831570936 PECOS PAC ID: 2466718853 Enrollment ID: I20171120000231 |
| Provider Name | Sharlene K Duplessis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689942534 PECOS PAC ID: 8325382260 Enrollment ID: I20181204003155 |
| Provider Name | Chengping Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710537063 PECOS PAC ID: 5496187973 Enrollment ID: I20191121002349 |
| Provider Name | Rebecca E Fischer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326204181 PECOS PAC ID: 2466754320 Enrollment ID: I20191218000934 |
| Provider Name | Emina Efendic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093363301 PECOS PAC ID: 4385074053 Enrollment ID: I20200420003377 |
| Provider Name | Ciara N Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811537533 PECOS PAC ID: 4082032917 Enrollment ID: I20200909002625 |
| Provider Name | Dawn M Erlingson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134753288 PECOS PAC ID: 5092127522 Enrollment ID: I20201207002394 |
| Provider Name | Michelle D Jefferson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275199747 PECOS PAC ID: 8628482643 Enrollment ID: I20210202001245 |
| Provider Name | Janine Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881234516 PECOS PAC ID: 4486061959 Enrollment ID: I20210330000047 |
| Provider Name | Shasterin Valentin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770126500 PECOS PAC ID: 5597163428 Enrollment ID: I20211007001375 |
| Provider Name | Jacqueline E Perron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932769130 PECOS PAC ID: 9739572694 Enrollment ID: I20220217000898 |
| Provider Name | Peter San |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396491593 PECOS PAC ID: 8325433287 Enrollment ID: I20220311002119 |
| Provider Name | Maria L Tapia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962874214 PECOS PAC ID: 3779979521 Enrollment ID: I20220405001033 |
| Provider Name | Brian T Pasqurell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336630813 PECOS PAC ID: 2365820446 Enrollment ID: I20220601001825 |
| Provider Name | Haley A Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790404630 PECOS PAC ID: 7113303322 Enrollment ID: I20220926001380 |
| Provider Name | Mirtalis Rubert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700592698 PECOS PAC ID: 7214309434 Enrollment ID: I20230215002226 |
| Provider Name | Carly Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780040600 PECOS PAC ID: 9931466158 Enrollment ID: I20230322001270 |
| Provider Name | Christopher Porcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689456402 PECOS PAC ID: 2365899085 Enrollment ID: I20231116002678 |
| Provider Name | Allison A Cormier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053991331 PECOS PAC ID: 0143678177 Enrollment ID: I20231130002556 |
| Provider Name | Lauramarie Vita |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619380169 PECOS PAC ID: 4486004413 Enrollment ID: I20240103001041 |
| Provider Name | Caitlin I Hirsch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740994730 PECOS PAC ID: 3072964048 Enrollment ID: I20240104001410 |
| Provider Name | Greg M Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205599677 PECOS PAC ID: 1355792169 Enrollment ID: I20240105002110 |
| Provider Name | Jessica L Cestaro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629222187 PECOS PAC ID: 0941651640 Enrollment ID: I20240108000143 |
| Provider Name | Elizabeth B Sesto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205270808 PECOS PAC ID: 2961853452 Enrollment ID: I20240109003270 |
| Provider Name | Helen P. St. Germain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679794465 PECOS PAC ID: 5890147938 Enrollment ID: I20240115000401 |
| Provider Name | Laura M Magisano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588714000 PECOS PAC ID: 1658723713 Enrollment ID: I20240115000920 |
| Provider Name | Michele L Santos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255525184 PECOS PAC ID: 1355793308 Enrollment ID: I20240116001994 |
| Provider Name | Donna B Woodard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538531132 PECOS PAC ID: 0749632602 Enrollment ID: I20240117001197 |
| Provider Name | Diana L Rodriguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174182604 PECOS PAC ID: 5395197172 Enrollment ID: I20240117002218 |
| Provider Name | Edielynn Cardona |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598316754 PECOS PAC ID: 7416309158 Enrollment ID: I20240118002682 |
| Provider Name | Diego A Peralta-calderon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265076012 PECOS PAC ID: 3870945447 Enrollment ID: I20240118004118 |
| Provider Name | Dionna C Levy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831732247 PECOS PAC ID: 5496107062 Enrollment ID: I20240118004210 |
| Provider Name | Mikayla G Crieger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205441524 PECOS PAC ID: 7113379710 Enrollment ID: I20240119000212 |
| Provider Name | Monica R Mobley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841811577 PECOS PAC ID: 6406208016 Enrollment ID: I20240119000551 |
| Provider Name | Kevin J Munley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891388260 PECOS PAC ID: 5092167601 Enrollment ID: I20240119000760 |
| Provider Name | Jessica S Kauffman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639634892 PECOS PAC ID: 7012369432 Enrollment ID: I20240122000467 |
| Provider Name | Michael H Connell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548665052 PECOS PAC ID: 0749632115 Enrollment ID: I20240122002098 |
| Provider Name | Marisa K Musumeci |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588028435 PECOS PAC ID: 8729430053 Enrollment ID: I20240122004439 |
| Provider Name | Tanya M Banas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932469400 PECOS PAC ID: 8921450263 Enrollment ID: I20240123000141 |
| Provider Name | Victoria E Cone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013787753 PECOS PAC ID: 1153764410 Enrollment ID: I20240205000532 |
| Provider Name | Jamie L Randolph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124786231 PECOS PAC ID: 0547603813 Enrollment ID: I20240205000856 |
| Provider Name | Leah L Kent |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144879537 PECOS PAC ID: 0446693634 Enrollment ID: I20240205001761 |
| Provider Name | Jazmine A Nava |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780454710 PECOS PAC ID: 6305289596 Enrollment ID: I20240205002010 |
| Provider Name | Eleonore N Julmice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942964358 PECOS PAC ID: 9234572751 Enrollment ID: I20240212001716 |
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