| Geriatric And Adult Psychiatry, Llc | |
|
60 Washington Ave Suite 203 Hamden CT 06518-3271 | |
| (203) 288-0414 | |
| (203) 288-3655 |
| Full Name | Geriatric And Adult Psychiatry, Llc |
|---|---|
| Speciality | Counselor |
| Location | 60 Washington Ave, Hamden, Connecticut |
| Authorized Official Name and Position | Alan P Siegal (MANAGING DIRECTOR) |
| Authorized Official Contact | 2032880414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric And Adult Psychiatry, Llc 60 Washington Ave Suite 203 Hamden CT 06518-3271 Ph: (203) 288-0414 | Geriatric And Adult Psychiatry, Llc 60 Washington Ave Suite 203 Hamden CT 06518-3271 Ph: (203) 288-0414 |
| NPI Number | 1770791493 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 10/05/2011 |
| Medicare PECOS PAC ID | 4486648946 |
|---|---|
| Medicare Enrollment ID | O20040408001301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770791493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Heidi H Sward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619098597 PECOS PAC ID: 7618063470 Enrollment ID: I20071010000324 |
| Provider Name | Alan Paul Siegal |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1952319139 PECOS PAC ID: 1456382001 Enrollment ID: I20120216000444 |
| Provider Name | Lauren C Mercer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922261874 PECOS PAC ID: 9638304819 Enrollment ID: I20131023001704 |
| Provider Name | Ann P Roselle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407056229 PECOS PAC ID: 9436327533 Enrollment ID: I20160413002254 |
| Provider Name | Shannon P Kukulka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982072591 PECOS PAC ID: 8527362045 Enrollment ID: I20170124002591 |
| Provider Name | Jennifer Michelle D'eugenio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891282356 PECOS PAC ID: 3577802644 Enrollment ID: I20190307000865 |
| Provider Name | Simmi S Narula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902415953 PECOS PAC ID: 6800206319 Enrollment ID: I20201111001263 |
| Provider Name | Teresa L Denicholas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720851736 PECOS PAC ID: 5799129912 Enrollment ID: I20240215003041 |
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