| Family Centers Inc | |
|
20 Bridge St Greenwich CT 06830-5238 | |
| (203) 629-2822 | |
| (209) 629-2940 |
| Full Name | Family Centers Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20 Bridge St, Greenwich, Connecticut |
| Authorized Official Name and Position | Tamara Morrow (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 2036292822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Centers Inc 40 Arch St Greenwich CT 06830-6525 Ph: (206) 869-4848 | Family Centers Inc 20 Bridge St Greenwich CT 06830-5238 Ph: (203) 629-2822 |
| NPI Number | 1265477780 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 03/07/2019 |
| Medicare PECOS PAC ID | 6507753324 |
|---|---|
| Medicare Enrollment ID | O20040304000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265477780 | NPI | - | NPPES |
| 004270039 | Medicaid | CT | |
| 004172920 | Medicaid | CT | |
| 004172912 | Medicaid | CT |
| Provider Name | Jill Diamond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700817582 PECOS PAC ID: 7719925023 Enrollment ID: I20050418001254 |
| Provider Name | Terry A Gillin Lostaglio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881711000 PECOS PAC ID: 8022042886 Enrollment ID: I20050921000409 |
| Provider Name | Angela N Buzzeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235282583 PECOS PAC ID: 8022110246 Enrollment ID: I20070219000441 |
| Provider Name | Daniella S Stavreva-zlatareva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497892251 PECOS PAC ID: 0446352926 Enrollment ID: I20070301000575 |
| Provider Name | Marta Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962576744 PECOS PAC ID: 4981798915 Enrollment ID: I20070920000588 |
| Provider Name | Debra Bader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871702936 PECOS PAC ID: 5294822219 Enrollment ID: I20071107000370 |
| Provider Name | Phyllis Glick Kosminsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659574531 PECOS PAC ID: 6507949302 Enrollment ID: I20080218000363 |
| Provider Name | Kathleen M Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306095955 PECOS PAC ID: 1951460351 Enrollment ID: I20081029000876 |
| Provider Name | Ramin Ahmadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124009451 PECOS PAC ID: 0547224032 Enrollment ID: I20090408000504 |
| Provider Name | Anne M Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023143815 PECOS PAC ID: 0648319863 Enrollment ID: I20091201000690 |
| Provider Name | Eluisa Brunetto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700952470 PECOS PAC ID: 1254523921 Enrollment ID: I20101013000626 |
| Provider Name | Keith A Lepp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275574956 PECOS PAC ID: 5991963951 Enrollment ID: I20120222000030 |
| Provider Name | Stephanie Haen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629306543 PECOS PAC ID: 5092931808 Enrollment ID: I20140730001996 |
| Provider Name | Amanda Hirsch-geffner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275603805 PECOS PAC ID: 1759503204 Enrollment ID: I20141118000371 |
| Provider Name | Ruthann Jaffe Birnbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699000729 PECOS PAC ID: 6103105788 Enrollment ID: I20161123000417 |
| Provider Name | Jennifer N Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629593744 PECOS PAC ID: 0547534745 Enrollment ID: I20170927002398 |
| Provider Name | Jessica L Schilero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710388558 PECOS PAC ID: 9133483274 Enrollment ID: I20180426000686 |
| Provider Name | Chelsea Ann Mcgee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245552173 PECOS PAC ID: 1557625084 Enrollment ID: I20180508002299 |
| Provider Name | Megan Paglialunga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386138667 PECOS PAC ID: 4587917968 Enrollment ID: I20181101001006 |
| Provider Name | Sharon Ellen Kutner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326222522 PECOS PAC ID: 8224372412 Enrollment ID: I20181128002461 |
| Provider Name | Margarita Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578620381 PECOS PAC ID: 4587838024 Enrollment ID: I20190130002808 |
| Provider Name | Elizabeth Anne Kaplan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225530447 PECOS PAC ID: 4981942307 Enrollment ID: I20190211001545 |
| Provider Name | Eva M Brewer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386288363 PECOS PAC ID: 8325477870 Enrollment ID: I20200403000723 |
| Provider Name | Beth K Tafuri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275153033 PECOS PAC ID: 1153735501 Enrollment ID: I20210127000808 |
| Provider Name | Leisha Shaw-prescod |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467703595 PECOS PAC ID: 9931513389 Enrollment ID: I20210127000966 |
| Provider Name | Elisabeth Franzik-giles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083082622 PECOS PAC ID: 4981978947 Enrollment ID: I20210326000115 |
| Provider Name | Ashleigh Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700364791 PECOS PAC ID: 7315355369 Enrollment ID: I20210413000566 |
| Provider Name | Jessica Marie Wisnieski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801454962 PECOS PAC ID: 5991199770 Enrollment ID: I20220221000410 |
| Provider Name | Cynthia Diane Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437717113 PECOS PAC ID: 4486048725 Enrollment ID: I20220302000786 |
| Provider Name | Alanna Kavanaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912448937 PECOS PAC ID: 8820367717 Enrollment ID: I20230217000567 |
| Provider Name | Angelique De Nofa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588958482 PECOS PAC ID: 9133349558 Enrollment ID: I20230823000698 |
| Provider Name | Jill Winner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790959740 PECOS PAC ID: 0941438113 Enrollment ID: I20230823003606 |
| Provider Name | Kelly Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952048936 PECOS PAC ID: 0941663843 Enrollment ID: I20230824003708 |
| Provider Name | Martha Lino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386304954 PECOS PAC ID: 9032572722 Enrollment ID: I20230829000838 |
| Provider Name | Sarah Shenefield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306317946 PECOS PAC ID: 5092178301 Enrollment ID: I20230901002448 |
| Provider Name | Danielle Graser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467767699 PECOS PAC ID: 7214255801 Enrollment ID: I20230919000141 |
| Provider Name | Andrea Payo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740765718 PECOS PAC ID: 0042664039 Enrollment ID: I20230925002694 |
| Provider Name | Emily Segal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902046709 PECOS PAC ID: 7214387802 Enrollment ID: I20231222000118 |
| Provider Name | Cynthia Miranda-montero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871209338 PECOS PAC ID: 1951751338 Enrollment ID: I20231227002321 |
| Provider Name | Jessica Fidler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871269639 PECOS PAC ID: 0042663601 Enrollment ID: I20240130003371 |
| Provider Name | Claire Cheng |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568087872 PECOS PAC ID: 5597118919 Enrollment ID: I20240201000482 |
| Provider Name | Jessica Colello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245009786 PECOS PAC ID: 9436502796 Enrollment ID: I20240202001011 |
| Provider Name | Kathleen Sutherland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972962256 PECOS PAC ID: 0143663120 Enrollment ID: I20240206004634 |
| Provider Name | Noelle Nevins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811692189 PECOS PAC ID: 2163865163 Enrollment ID: I20240207000198 |
| Provider Name | Sara Vantilburg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053806018 PECOS PAC ID: 8527401538 Enrollment ID: I20240207000500 |
| Provider Name | Maria Telesca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821313479 PECOS PAC ID: 5193904928 Enrollment ID: I20240208001555 |
| Provider Name | Jeanne Carrillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699245597 PECOS PAC ID: 0840635512 Enrollment ID: I20240304003292 |
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