| Easter Seals Capital Region & Eastern Connecticut, Inc. | |
|
100 Deerfield Rd Windsor CT 06095-4252 | |
| (860) 714-9500 | |
| (860) 714-8555 |
| Full Name | Easter Seals Capital Region & Eastern Connecticut, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Deerfield Rd, Windsor, Connecticut |
| Authorized Official Name and Position | Allen S. Gouse (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8607149501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Capital Region & Eastern Connecticut, Inc. 100 Deerfield Rd Windsor CT 06095-4252 Ph: (860) 714-9500 | Easter Seals Capital Region & Eastern Connecticut, Inc. 100 Deerfield Rd Windsor CT 06095-4252 Ph: (860) 714-9500 |
| NPI Number | 1639177926 |
|---|---|
| Provider Enumeration Date | 07/11/2005 |
| Last Update Date | 09/30/2025 |
| Certification Date | 09/30/2025 |
| Medicare PECOS PAC ID | 9830089028 |
|---|---|
| Medicare Enrollment ID | O20040319000699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639177926 | NPI | - | NPPES |
| 004039632 | Medicaid | CT |
| Provider Name | Howard M Goldfischer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033241120 PECOS PAC ID: 9032284880 Enrollment ID: I20080813000863 |
| Provider Name | Alicia G Nieto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972676054 PECOS PAC ID: 5193799757 Enrollment ID: I20100323000900 |
| Provider Name | Eli M Aroesty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164814463 PECOS PAC ID: 4880913151 Enrollment ID: I20150507002640 |
| Provider Name | Lasha Corbett Laggis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235682386 PECOS PAC ID: 8022306018 Enrollment ID: I20161006001188 |
| Provider Name | Nicole M Barcelos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467820944 PECOS PAC ID: 8426367574 Enrollment ID: I20170214001763 |
| Provider Name | Thomas Nicholas Shusterman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932558442 PECOS PAC ID: 7618208620 Enrollment ID: I20191004002751 |
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