| Connecticut Mental Health Specialists Inc | |
|
270 Farmington Ave Suite 309 Farmington CT 06032-1909 | |
| (860) 677-5570 | |
| (860) 677-9570 |
| Full Name | Connecticut Mental Health Specialists Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 270 Farmington Ave, Farmington, Connecticut |
| Authorized Official Name and Position | Dana Kriscenski (OFFICE MANAGER) |
| Authorized Official Contact | 8606775570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Mental Health Specialists Inc 270 Farmington Ave Suite 309 Farmington CT 06032-1909 Ph: (860) 677-5570 | Connecticut Mental Health Specialists Inc 270 Farmington Ave Suite 309 Farmington CT 06032-1909 Ph: (860) 677-5570 |
| NPI Number | 1053362814 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 09/05/2013 |
| Medicare PECOS PAC ID | 0345130563 |
|---|---|
| Medicare Enrollment ID | O20040319000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053362814 | NPI | - | NPPES |
| Provider Name | Jill L Duboff-jacomini |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1538142435 PECOS PAC ID: 9638081763 Enrollment ID: I20031105000553 |
| Provider Name | Dellene W Quintiliani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669514907 PECOS PAC ID: 3870489313 Enrollment ID: I20040223001095 |
| Provider Name | Nancy C Trevor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962563403 PECOS PAC ID: 3274421870 Enrollment ID: I20040318000015 |
| Provider Name | Martin M Cooper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174576334 PECOS PAC ID: 0547150773 Enrollment ID: I20040401000127 |
| Provider Name | Patricia Merrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497708663 PECOS PAC ID: 8325037278 Enrollment ID: I20040507000135 |
| Provider Name | Meryl Danitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770536484 PECOS PAC ID: 2264423896 Enrollment ID: I20040521000248 |
| Provider Name | Jennifer A Colucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558364653 PECOS PAC ID: 1052396041 Enrollment ID: I20040623000519 |
| Provider Name | Melissa Gatica |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225118797 PECOS PAC ID: 6103802129 Enrollment ID: I20040629000558 |
| Provider Name | Sandra A Defrancesco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841517786 PECOS PAC ID: 1052381902 Enrollment ID: I20040728000660 |
| Provider Name | Sharon Hinton |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1871646141 PECOS PAC ID: 2264404284 Enrollment ID: I20040810001289 |
| Provider Name | Kary A Krochko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295904225 PECOS PAC ID: 2163483298 Enrollment ID: I20041022000220 |
| Provider Name | Karen Lemieux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043348147 PECOS PAC ID: 1850353848 Enrollment ID: I20041102000304 |
| Provider Name | Clarisse Fairbanks |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1538105135 PECOS PAC ID: 5092773739 Enrollment ID: I20041228000363 |
| Provider Name | Jay K Berkowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255382396 PECOS PAC ID: 4688622319 Enrollment ID: I20050110000231 |
| Provider Name | Nicolas Olshansky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770523367 PECOS PAC ID: 5193775120 Enrollment ID: I20050127000687 |
| Provider Name | Anneliis Koiv |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649340175 PECOS PAC ID: 2668411893 Enrollment ID: I20050427001056 |
| Provider Name | Nancy Dangelo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982934527 PECOS PAC ID: 2264471143 Enrollment ID: I20050429000445 |
| Provider Name | Elizabeth R Davoren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316945611 PECOS PAC ID: 6608803739 Enrollment ID: I20050720000954 |
| Provider Name | Vittorio Ferrero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609935840 PECOS PAC ID: 7012948458 Enrollment ID: I20050825000837 |
| Provider Name | Eleanor Marie Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750466744 PECOS PAC ID: 2769414549 Enrollment ID: I20050831000854 |
| Provider Name | Jacqueline M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972743490 PECOS PAC ID: 5395764708 Enrollment ID: I20051115000724 |
| Provider Name | Catherine S Hair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891737987 PECOS PAC ID: 2769405307 Enrollment ID: I20060110000034 |
| Provider Name | Arturo E Morales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366477812 PECOS PAC ID: 7719991397 Enrollment ID: I20060202000867 |
| Provider Name | Lynn C Winther |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245206556 PECOS PAC ID: 8224043500 Enrollment ID: I20060207000875 |
| Provider Name | Cynthia L Nye |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124070362 PECOS PAC ID: 1052322625 Enrollment ID: I20060510000345 |
| Provider Name | Nicholas Tobin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174685986 PECOS PAC ID: 8022111574 Enrollment ID: I20070321000396 |
| Provider Name | Sudhakar S Shetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104858026 PECOS PAC ID: 8224137716 Enrollment ID: I20070625000380 |
| Provider Name | Cari Surace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720286263 PECOS PAC ID: 7315048337 Enrollment ID: I20070720000570 |
| Provider Name | Tariq Latif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992844419 PECOS PAC ID: 5698876316 Enrollment ID: I20070725000479 |
| Provider Name | Carla Corcione |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134301013 PECOS PAC ID: 5799865515 Enrollment ID: I20080107000531 |
| Provider Name | Nellie E Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679742282 PECOS PAC ID: 7416026927 Enrollment ID: I20080522000548 |
| Provider Name | Michele M Kieras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821125089 PECOS PAC ID: 1052489358 Enrollment ID: I20081013000540 |
| Provider Name | Audra R Beauregard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710133806 PECOS PAC ID: 3173683083 Enrollment ID: I20081122000099 |
| Provider Name | Thuraya A Abdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124272950 PECOS PAC ID: 0143381376 Enrollment ID: I20081206000082 |
| Provider Name | Carissa A Tufano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760639819 PECOS PAC ID: 1850452087 Enrollment ID: I20081206000101 |
| Provider Name | Margaret E Ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245482173 PECOS PAC ID: 6608938360 Enrollment ID: I20081215000643 |
| Provider Name | Maria R Sangiorgio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063412237 PECOS PAC ID: 9638075260 Enrollment ID: I20081215000653 |
| Provider Name | Rita Tropper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588803381 PECOS PAC ID: 2365592003 Enrollment ID: I20090618000128 |
| Provider Name | Michelle L Van Duinen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063655561 PECOS PAC ID: 4880747492 Enrollment ID: I20090729000812 |
| Provider Name | Danil Anisimov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114150984 PECOS PAC ID: 0345387734 Enrollment ID: I20091015000672 |
| Provider Name | Andrea L Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942534045 PECOS PAC ID: 2264579002 Enrollment ID: I20091027000403 |
| Provider Name | Pamela Pedroncelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497981310 PECOS PAC ID: 7416867478 Enrollment ID: I20091102000074 |
| Provider Name | Dean E Lederfeind |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679729966 PECOS PAC ID: 4981742095 Enrollment ID: I20091110000757 |
| Provider Name | Jodi A Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518197573 PECOS PAC ID: 7113065095 Enrollment ID: I20091113000178 |
| Provider Name | Danielle Capozziello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063741635 PECOS PAC ID: 0840335626 Enrollment ID: I20100304000326 |
| Provider Name | Lisa C Diamond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184710550 PECOS PAC ID: 6800924663 Enrollment ID: I20100514000692 |
| Provider Name | Bachaar Arnaout |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962676049 PECOS PAC ID: 4981735115 Enrollment ID: I20100701000344 |
| Provider Name | Niloni H Vora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134371032 PECOS PAC ID: 7517099377 Enrollment ID: I20100715000019 |
| Provider Name | Ayesha Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487684742 PECOS PAC ID: 7113056912 Enrollment ID: I20100924000671 |
| Provider Name | Ina F Werdinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245395979 PECOS PAC ID: 5294922316 Enrollment ID: I20101215000111 |
| Provider Name | Pavle M Joksovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285893313 PECOS PAC ID: 3577746007 Enrollment ID: I20110322000163 |
| Provider Name | Joyce E Pond-inkel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861781213 PECOS PAC ID: 3476738923 Enrollment ID: I20110426000794 |
| Provider Name | Amit Rathi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972704245 PECOS PAC ID: 7517145279 Enrollment ID: I20110628000340 |
| Provider Name | Catherine Ann Sheahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528360526 PECOS PAC ID: 9335311257 Enrollment ID: I20111018000534 |
| Provider Name | Jean M Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972780005 PECOS PAC ID: 6709058506 Enrollment ID: I20111019000787 |
| Provider Name | Cheryl H Cottrol |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417091356 PECOS PAC ID: 8729171947 Enrollment ID: I20111114000208 |
| Provider Name | Linda K Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508805201 PECOS PAC ID: 4880860063 Enrollment ID: I20120110000748 |
| Provider Name | Deborah A Oberman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043388846 PECOS PAC ID: 4486821246 Enrollment ID: I20120118000794 |
| Provider Name | Lacy C Birdseye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972872463 PECOS PAC ID: 4981861408 Enrollment ID: I20120210000067 |
| Provider Name | Elisabeth H Frimberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598021123 PECOS PAC ID: 9133383045 Enrollment ID: I20120605000553 |
| Provider Name | Wendy R Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033260138 PECOS PAC ID: 5799940466 Enrollment ID: I20120702000178 |
| Provider Name | Nick Ramandi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124219050 PECOS PAC ID: 2062668163 Enrollment ID: I20120806000343 |
| Provider Name | Jorge Aguilar Zanatta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477704971 PECOS PAC ID: 9335396969 Enrollment ID: I20120904000257 |
| Provider Name | Maryfrances L Desteno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922374354 PECOS PAC ID: 9436308087 Enrollment ID: I20120926000125 |
| Provider Name | Omar Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780955484 PECOS PAC ID: 1658521133 Enrollment ID: I20121018000024 |
| Provider Name | Rose Yu Chin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891867693 PECOS PAC ID: 5294631891 Enrollment ID: I20130520000281 |
| Provider Name | Jessica M Screen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609116029 PECOS PAC ID: 2062650856 Enrollment ID: I20130606000567 |
| Provider Name | Genevieve A Henry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891956827 PECOS PAC ID: 4284877341 Enrollment ID: I20130821000822 |
| Provider Name | Jennifer Padovani Ott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114367950 PECOS PAC ID: 8820232077 Enrollment ID: I20130910000511 |
| Provider Name | Jessica M Christoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285075788 PECOS PAC ID: 4486888732 Enrollment ID: I20130930000122 |
| Provider Name | April Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639509219 PECOS PAC ID: 5193953891 Enrollment ID: I20131231001525 |
| Provider Name | Deborah S Guidetti Gerwien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821420563 PECOS PAC ID: 3173751492 Enrollment ID: I20140114000317 |
| Provider Name | Kimberly Cafaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942642426 PECOS PAC ID: 5890926208 Enrollment ID: I20140328000952 |
| Provider Name | April Jones Heard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225115777 PECOS PAC ID: 0840422176 Enrollment ID: I20140421000122 |
| Provider Name | Stefanie C Westcott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790100790 PECOS PAC ID: 9638394687 Enrollment ID: I20140707000795 |
| Provider Name | Elizabeth A Sennett-crocco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861805178 PECOS PAC ID: 2860611589 Enrollment ID: I20140911001415 |
| Provider Name | Jessica L Saltzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851514392 PECOS PAC ID: 0446471973 Enrollment ID: I20141024001357 |
| Provider Name | Janette L Coury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609919893 PECOS PAC ID: 0446471809 Enrollment ID: I20141028001840 |
| Provider Name | Catherine Catti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023410743 PECOS PAC ID: 1850613761 Enrollment ID: I20141204000202 |
| Provider Name | Kimberly L Milaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740687466 PECOS PAC ID: 8224351432 Enrollment ID: I20141219000512 |
| Provider Name | Alex Deshields |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497916472 PECOS PAC ID: 0446575872 Enrollment ID: I20150206000550 |
| Provider Name | Nicole E Ciarleglio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972798114 PECOS PAC ID: 4486979515 Enrollment ID: I20150213000290 |
| Provider Name | Gina M Reiners |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962451625 PECOS PAC ID: 3072525419 Enrollment ID: I20150402001743 |
| Provider Name | Sarah Bione-dunn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356579395 PECOS PAC ID: 9032438171 Enrollment ID: I20150512001267 |
| Provider Name | Karen H Stickney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366839334 PECOS PAC ID: 1456662634 Enrollment ID: I20150615000689 |
| Provider Name | Julie S Heher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760881338 PECOS PAC ID: 9739494675 Enrollment ID: I20150820011525 |
| Provider Name | Stephanie G Pettingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205258605 PECOS PAC ID: 4587882949 Enrollment ID: I20151016000343 |
| Provider Name | Suze Saget-jules |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154658961 PECOS PAC ID: 6305039124 Enrollment ID: I20151104000590 |
| Provider Name | Joan E. Guerrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104296458 PECOS PAC ID: 3577863448 Enrollment ID: I20151125000518 |
| Provider Name | Emily M Dimartino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568837615 PECOS PAC ID: 8426354945 Enrollment ID: I20160309002697 |
| Provider Name | Vicki Harden-taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760853873 PECOS PAC ID: 4880991652 Enrollment ID: I20160322000512 |
| Provider Name | Ellen Louise Sollazzo |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821464017 PECOS PAC ID: 1052619574 Enrollment ID: I20160418001264 |
| Provider Name | Robin M. Miasek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669819645 PECOS PAC ID: 0749589661 Enrollment ID: I20160427002190 |
| Provider Name | Martha Jean Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598132581 PECOS PAC ID: 6204146376 Enrollment ID: I20160520000477 |
| Provider Name | Susan M Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225028616 PECOS PAC ID: 4183918600 Enrollment ID: I20160805002079 |
| Provider Name | Kimberley P Bedard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265881759 PECOS PAC ID: 1557656428 Enrollment ID: I20160817002102 |
| Provider Name | Mary C Mercado |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669806360 PECOS PAC ID: 0749578813 Enrollment ID: I20161006000137 |
| Provider Name | Melissa Falb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457702052 PECOS PAC ID: 6002104031 Enrollment ID: I20161006002498 |
| Provider Name | Carroll Nsubuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285187781 PECOS PAC ID: 1557649233 Enrollment ID: I20161101000158 |
| Provider Name | Margo A Bojko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366485534 PECOS PAC ID: 8921387168 Enrollment ID: I20161111000200 |
| Provider Name | Donald R Sirry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558753897 PECOS PAC ID: 0941589485 Enrollment ID: I20161128001118 |
| Provider Name | Helen Polewoj |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790237402 PECOS PAC ID: 3274813753 Enrollment ID: I20161130000850 |
| Provider Name | Kristen B Vavrek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003364225 PECOS PAC ID: 4284914011 Enrollment ID: I20161213000949 |
| Provider Name | April Duryea-racanelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982845293 PECOS PAC ID: 6901187269 Enrollment ID: I20161228000124 |
| Provider Name | Sheila A Owen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194093864 PECOS PAC ID: 3779865290 Enrollment ID: I20170118001571 |
| Provider Name | Barbara A Wille Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891239497 PECOS PAC ID: 4880976067 Enrollment ID: I20170124000479 |
| Provider Name | Eva Torres Maldonado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164881736 PECOS PAC ID: 9032491022 Enrollment ID: I20170127000594 |
| Provider Name | Angela Hay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891235198 PECOS PAC ID: 9638454085 Enrollment ID: I20170327000846 |
| 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 | Deberey A Hinchey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861926347 PECOS PAC ID: 8628226792 Enrollment ID: I20170424001595 |
| Provider Name | Lisa C Hayden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740241512 PECOS PAC ID: 9133498967 Enrollment ID: I20170710002434 |
| Provider Name | Nicole Weld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366963704 PECOS PAC ID: 3577836386 Enrollment ID: I20170830000828 |
| Provider Name | Louis Damora |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477079499 PECOS PAC ID: 9133495294 Enrollment ID: I20171018000991 |
| Provider Name | Kami Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518486018 PECOS PAC ID: 6305103268 Enrollment ID: I20171130002114 |
| Provider Name | Camille N Alvarado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417393356 PECOS PAC ID: 6305167222 Enrollment ID: I20171227001298 |
| Provider Name | Tina M Hinchey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851808943 PECOS PAC ID: 5799045787 Enrollment ID: I20180213001442 |
| Provider Name | Authurine W Hannam-davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891241873 PECOS PAC ID: 8022378884 Enrollment ID: I20180216000514 |
| Provider Name | Annie L Morosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649764952 PECOS PAC ID: 3274880158 Enrollment ID: I20180724001228 |
| Provider Name | Michelle Wojciechowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336649649 PECOS PAC ID: 8628327210 Enrollment ID: I20180815000162 |
| Provider Name | Lynne D Severance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871082032 PECOS PAC ID: 4284983891 Enrollment ID: I20180815001025 |
| Provider Name | Nigel Rodney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023595147 PECOS PAC ID: 3274882386 Enrollment ID: I20180823000813 |
| Provider Name | Seana Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215426481 PECOS PAC ID: 8820341977 Enrollment ID: I20181019000886 |
| Provider Name | Katherine A Wargo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639668031 PECOS PAC ID: 2163775867 Enrollment ID: I20181026000489 |
| Provider Name | Mitchell B Mines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942213665 PECOS PAC ID: 6901159201 Enrollment ID: I20181105000505 |
| Provider Name | Radmila M Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174090617 PECOS PAC ID: 3274872569 Enrollment ID: I20190304002701 |
| Provider Name | Kelly S Lindblom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699056911 PECOS PAC ID: 9436320348 Enrollment ID: I20190509001429 |
| Provider Name | Gwenth Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083172811 PECOS PAC ID: 9032442520 Enrollment ID: I20190617000714 |
| Provider Name | Laura A Liistro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730609264 PECOS PAC ID: 5193050169 Enrollment ID: I20190712001241 |
| Provider Name | Seth R Banever |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013302264 PECOS PAC ID: 3971838962 Enrollment ID: I20190712002146 |
| Provider Name | Amanda Pacheco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881171635 PECOS PAC ID: 4880929702 Enrollment ID: I20190716000263 |
| Provider Name | Tiffany Otto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033770698 PECOS PAC ID: 2769710375 Enrollment ID: I20190821000374 |
| Provider Name | Chyenne E Giarnese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427610534 PECOS PAC ID: 0749518272 Enrollment ID: I20190822000568 |
| Provider Name | Linton Kinlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154982684 PECOS PAC ID: 7012247893 Enrollment ID: I20190920000793 |
| Provider Name | Chijioke Nnanna Egbujo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164601548 PECOS PAC ID: 9830484005 Enrollment ID: I20191003000663 |
| Provider Name | Natalie Perron Nielsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790337756 PECOS PAC ID: 0143648253 Enrollment ID: I20200922000093 |
| Provider Name | Jennifer M Lapenta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982701330 PECOS PAC ID: 5991125155 Enrollment ID: I20201009001075 |
| Provider Name | Jemilat Joy Azeez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700404167 PECOS PAC ID: 8921418153 Enrollment ID: I20201029001117 |
| Provider Name | Elina Alfin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669029310 PECOS PAC ID: 3072923549 Enrollment ID: I20201112000881 |
| Provider Name | Charlotte Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356943153 PECOS PAC ID: 8628480803 Enrollment ID: I20201211000720 |
| Provider Name | Emily Schulz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487258372 PECOS PAC ID: 7214349497 Enrollment ID: I20201211000907 |
| Provider Name | Dulcimina Althea Welsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780292706 PECOS PAC ID: 6709293376 Enrollment ID: I20210326000215 |
| Provider Name | Helen Ricketts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932784956 PECOS PAC ID: 3577971720 Enrollment ID: I20210428000595 |
| Provider Name | Mildred Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588969745 PECOS PAC ID: 1254731086 Enrollment ID: I20210615002436 |
| Provider Name | Cathleen Pallotti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528632924 PECOS PAC ID: 3678973484 Enrollment ID: I20210616001653 |
| Provider Name | Anna J Mangiafico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366027286 PECOS PAC ID: 0446650253 Enrollment ID: I20210616001832 |
| Provider Name | Barbara Jayne Schuster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326239310 PECOS PAC ID: 2961804190 Enrollment ID: I20210712001025 |
| Provider Name | Rana Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861924037 PECOS PAC ID: 3678844644 Enrollment ID: I20211008001765 |
| Provider Name | Cherish H Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376047753 PECOS PAC ID: 0749527877 Enrollment ID: I20211013003769 |
| Provider Name | Taylor Adah Humbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437469426 PECOS PAC ID: 6103217773 Enrollment ID: I20211216000344 |
| Provider Name | Gabriela R Self |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801556550 PECOS PAC ID: 1355736794 Enrollment ID: I20220321002265 |
| Provider Name | Javeeria Manzoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396038691 PECOS PAC ID: 1456669944 Enrollment ID: I20220503002517 |
| Provider Name | Susan J Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700106606 PECOS PAC ID: 9335521194 Enrollment ID: I20220727001022 |
| Provider Name | Debra Majeske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023726247 PECOS PAC ID: 7911376389 Enrollment ID: I20221206002681 |
| Provider Name | Jennifer Richello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952010985 PECOS PAC ID: 5991177495 Enrollment ID: I20230209002046 |
| Provider Name | Ariana Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952028268 PECOS PAC ID: 2163885641 Enrollment ID: I20230831000489 |
| Provider Name | Catherine Jennings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891424321 PECOS PAC ID: 7315392826 Enrollment ID: I20231018000754 |
| Provider Name | Roseanne Meyer Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396520730 PECOS PAC ID: 1658728118 Enrollment ID: I20231106002832 |
| Provider Name | Jennifer S Tucker-mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336825611 PECOS PAC ID: 6204283351 Enrollment ID: I20231110000449 |
| Provider Name | Sherieffa Nicola Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184407801 PECOS PAC ID: 0648628370 Enrollment ID: I20231118000475 |
Stephanie Paul, L.c.s.w. Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 Main St, Farmington, CT 06032 Phone: 860-818-1719 | |
Prohealth Physicians, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Farm Springs Road, Prohealth Physicians, Farmington, CT 06032 Phone: 860-284-5200 | |
Andrea And Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1789 New Britain Ave, Farmington, CT 06032 Phone: 860-754-3672 | |
Finding Joy Psychiatry Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Farmington Ridge Dr, Farmington, CT 06032 Phone: 860-573-0977 | |
Connectic Ut Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Farmington Ave, Building One, Farmington, CT 06032 Phone: 860-677-5570 | |
Carroll Foley Psychotherapy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 47 Bradford Walk, Farmington, CT 06032 Phone: 203-707-8495 |