| Contemporary Care Llc | |
|
84 Hospital Ave Danbury CT 06810-6047 | |
| (203) 792-0400 | |
| Not Available |
| Full Name | Contemporary Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 84 Hospital Ave, Danbury, Connecticut |
| Authorized Official Name and Position | Tarique Perera (CEO) |
| Authorized Official Contact | 2033215063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Contemporary Care Llc 84 Hospital Ave Danbury CT 06810-6047 Ph: (203) 792-0400 | Contemporary Care Llc 84 Hospital Ave Danbury CT 06810-6047 Ph: (203) 792-0400 |
| NPI Number | 1639734338 |
|---|---|
| Provider Enumeration Date | 05/08/2019 |
| Last Update Date | 05/14/2019 |
| Medicare PECOS PAC ID | 9537408141 |
|---|---|
| Medicare Enrollment ID | O20190517001673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639734338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Tarique D Perera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730195751 PECOS PAC ID: 8224020110 Enrollment ID: I20040331001377 |
| Provider Name | Dora Orosz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598798001 PECOS PAC ID: 3072544626 Enrollment ID: I20050824000366 |
| Provider Name | Abbe Ravens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659570281 PECOS PAC ID: 4981798451 Enrollment ID: I20070915000012 |
| Provider Name | Donald Ammerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316032295 PECOS PAC ID: 0143368654 Enrollment ID: I20091103000486 |
| Provider Name | Claudia T Sickinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053534115 PECOS PAC ID: 5597937391 Enrollment ID: I20180518001707 |
| Provider Name | Gony A Weiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912150517 PECOS PAC ID: 3870807548 Enrollment ID: I20180709002670 |
| Provider Name | Wendy Gadwah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225527724 PECOS PAC ID: 2062757362 Enrollment ID: I20181214000086 |
| Provider Name | Adam Shapiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457738825 PECOS PAC ID: 7315275641 Enrollment ID: I20191122002423 |
| Provider Name | Kendall A Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356885644 PECOS PAC ID: 6406107796 Enrollment ID: I20200114000654 |
| Provider Name | Preetham Grandhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720093149 PECOS PAC ID: 2163852484 Enrollment ID: I20201209002332 |
| Provider Name | Rebecca Trotman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427010909 PECOS PAC ID: 0345231619 Enrollment ID: I20210215001606 |
| Provider Name | Scott E Hirsch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851514434 PECOS PAC ID: 2961551833 Enrollment ID: I20210707003661 |
| Provider Name | Marlayna Andujar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124577465 PECOS PAC ID: 4587066980 Enrollment ID: I20210707003781 |
| Provider Name | Margurite Ready |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538804422 PECOS PAC ID: 5597146910 Enrollment ID: I20220718000475 |
| Provider Name | Kimberly Sue Crabbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154991297 PECOS PAC ID: 1951777440 Enrollment ID: I20221025002501 |
| Provider Name | Irena Michals |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245879584 PECOS PAC ID: 3678931086 Enrollment ID: I20230616001211 |
| Provider Name | Alexandra O'malley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356927198 PECOS PAC ID: 3971994054 Enrollment ID: I20231211002441 |
| Provider Name | Amal Adely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447031695 PECOS PAC ID: 6002265279 Enrollment ID: I20231213001574 |
| Provider Name | Haley Mozonski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003400854 PECOS PAC ID: 6507218054 Enrollment ID: I20240119002297 |
| Provider Name | Alexis Entz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871277038 PECOS PAC ID: 0941645618 Enrollment ID: I20240304003258 |
| Provider Name | Sheilah Noya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710669718 PECOS PAC ID: 1557707080 Enrollment ID: I20240307000169 |
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