| Harvest Healthcare Llc | |
|
21 Waterville Rd Avon CT 06001-2097 | |
| (860) 284-0182 | |
| (860) 284-6804 |
| Full Name | Harvest Healthcare Llc |
|---|---|
| Speciality | Social Worker |
| Location | 21 Waterville Rd, Avon, Connecticut |
| Authorized Official Name and Position | Meghan Foley (OWNER) |
| Authorized Official Contact | 8602841052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvest Healthcare Llc 21 Waterville Rd Avon CT 06001-2097 Ph: (860) 284-0182 | Harvest Healthcare Llc 21 Waterville Rd Avon CT 06001-2097 Ph: (860) 284-0182 |
| NPI Number | 1477712917 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 02/08/2012 |
| Medicare PECOS PAC ID | 9931276979 |
|---|---|
| Medicare Enrollment ID | O20080917000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477712917 | NPI | - | NPPES |
| Provider Name | Carol B Tuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699737189 PECOS PAC ID: 1254231558 Enrollment ID: I20040112000429 |
| Provider Name | Denise Lepage Alsakkaf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689786246 PECOS PAC ID: 0749183358 Enrollment ID: I20040130000536 |
| Provider Name | Carlos A Hernandez-avila |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467511568 PECOS PAC ID: 0941196521 Enrollment ID: I20040223000649 |
| Provider Name | Nancy E Chere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841240520 PECOS PAC ID: 7416945498 Enrollment ID: I20040506000510 |
| Provider Name | Maryanne E Hagar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255384228 PECOS PAC ID: 5698764355 Enrollment ID: I20040507001100 |
| Provider Name | Marc D Aronson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275632994 PECOS PAC ID: 8426039843 Enrollment ID: I20040601000139 |
| Provider Name | Erika Polyanskaya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457438020 PECOS PAC ID: 5698757680 Enrollment ID: I20040603000583 |
| Provider Name | Jeffrey H Gottlieb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043292980 PECOS PAC ID: 0941108476 Enrollment ID: I20040629000954 |
| Provider Name | Lisa M Holme |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720042708 PECOS PAC ID: 5597720888 Enrollment ID: I20041129000488 |
| Provider Name | Sharon M Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770005100 PECOS PAC ID: 5799741443 Enrollment ID: I20041206000129 |
| Provider Name | Peter A Talbot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003999863 PECOS PAC ID: 6103874342 Enrollment ID: I20050105000141 |
| Provider Name | Kathryn C P Scrimenti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285658435 PECOS PAC ID: 5991754301 Enrollment ID: I20050112000842 |
| Provider Name | Kimberly B Collins |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417926296 PECOS PAC ID: 9638124225 Enrollment ID: I20050316000750 |
| Provider Name | Theresa Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639182728 PECOS PAC ID: 7517904766 Enrollment ID: I20050411000227 |
| Provider Name | Kurt C Bellhorn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558324434 PECOS PAC ID: 8921042482 Enrollment ID: I20050615000456 |
| Provider Name | Elysa M Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386621266 PECOS PAC ID: 1951347822 Enrollment ID: I20050630000445 |
| Provider Name | Eric Brysgel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912950213 PECOS PAC ID: 6709817943 Enrollment ID: I20050826000509 |
| Provider Name | Eleanor Marie Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750466744 PECOS PAC ID: 2769414549 Enrollment ID: I20050831000854 |
| Provider Name | Mohammad R Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740229335 PECOS PAC ID: 8921031055 Enrollment ID: I20050919000010 |
| Provider Name | Mohammad Dada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457307043 PECOS PAC ID: 0042203051 Enrollment ID: I20051010000478 |
| Provider Name | Catherine Girard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144396532 PECOS PAC ID: 8224058698 Enrollment ID: I20051130000310 |
| Provider Name | Andrew Wnuk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669672341 PECOS PAC ID: 6204857063 Enrollment ID: I20051208000710 |
| Provider Name | Marjorie A Arni |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1043263502 PECOS PAC ID: 7618986548 Enrollment ID: I20060420000304 |
| Provider Name | Debora Doyle Ouellette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174579866 PECOS PAC ID: 4082624978 Enrollment ID: I20060421000008 |
| Provider Name | Jean Enderle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053327999 PECOS PAC ID: 5193721116 Enrollment ID: I20061016000364 |
| Provider Name | Jyothi Vayalakkara |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558449660 PECOS PAC ID: 4981603263 Enrollment ID: I20061214000253 |
| Provider Name | Cora D Zembrzuski |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1124196597 PECOS PAC ID: 3375543978 Enrollment ID: I20070104000444 |
| Provider Name | Linda K Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285755629 PECOS PAC ID: 0345340014 Enrollment ID: I20070710000758 |
| Provider Name | Shragit Glazman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225219108 PECOS PAC ID: 4587741160 Enrollment ID: I20080407000439 |
| Provider Name | Michelle L Hufner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548335714 PECOS PAC ID: 8325118383 Enrollment ID: I20080603000026 |
| Provider Name | Deborah E Donat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467655225 PECOS PAC ID: 6901976901 Enrollment ID: I20080603000319 |
| Provider Name | Karen E Fahey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972780799 PECOS PAC ID: 6901979046 Enrollment ID: I20080722000575 |
| Provider Name | Deborah A Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356508691 PECOS PAC ID: 4183797186 Enrollment ID: I20080724000385 |
| Provider Name | Elizabeth Zahoruiko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013179084 PECOS PAC ID: 0840368627 Enrollment ID: I20081007000199 |
| Provider Name | Carissa A Tufano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760639819 PECOS PAC ID: 1850452087 Enrollment ID: I20081206000101 |
| Provider Name | Richard Frank Comshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639116957 PECOS PAC ID: 9335205194 Enrollment ID: I20090303000018 |
| Provider Name | Subbarao Bollepalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720154198 PECOS PAC ID: 0648263988 Enrollment ID: I20090326000343 |
| Provider Name | Nicola Giordano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225216880 PECOS PAC ID: 1557446929 Enrollment ID: I20090615000199 |
| Provider Name | Donna M Delpo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447489943 PECOS PAC ID: 9335292481 Enrollment ID: I20090806000564 |
| Provider Name | Mohammad A Shamsi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891807251 PECOS PAC ID: 5496808578 Enrollment ID: I20090807000006 |
| Provider Name | Gayle A Gwozdz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285866806 PECOS PAC ID: 3274662481 Enrollment ID: I20100526001030 |
| Provider Name | Kathleen S Africano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659300416 PECOS PAC ID: 1456455690 Enrollment ID: I20101014000965 |
| Provider Name | Terese E Quattro Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649313834 PECOS PAC ID: 8426237264 Enrollment ID: I20110125000840 |
| Provider Name | Narra Songco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689984056 PECOS PAC ID: 0143400309 Enrollment ID: I20110207000113 |
| Provider Name | Mouhamed A Ndiaye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982917985 PECOS PAC ID: 9133302185 Enrollment ID: I20110329000284 |
| Provider Name | Gayle S Klein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356540512 PECOS PAC ID: 7810165560 Enrollment ID: I20110722000547 |
| Provider Name | Michelle Nwigwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396024725 PECOS PAC ID: 4082885686 Enrollment ID: I20110912000073 |
| Provider Name | Oleh Kusen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952684938 PECOS PAC ID: 9133391964 Enrollment ID: I20111020000255 |
| Provider Name | Maria D Dawe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659609204 PECOS PAC ID: 0143488569 Enrollment ID: I20120214000858 |
| Provider Name | Elisabeth H Frimberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598021123 PECOS PAC ID: 9133383045 Enrollment ID: I20120605000553 |
| Provider Name | Nick Ramandi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124219050 PECOS PAC ID: 2062668163 Enrollment ID: I20120806000343 |
| Provider Name | Laura Palmese |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184906448 PECOS PAC ID: 9335392950 Enrollment ID: I20130110000366 |
| Provider Name | Lawrence J Peacock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902064173 PECOS PAC ID: 2466601414 Enrollment ID: I20130724000234 |
| Provider Name | Jessica M Christoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285075788 PECOS PAC ID: 4486888732 Enrollment ID: I20130930000122 |
| Provider Name | Marisa Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487891545 PECOS PAC ID: 0143456830 Enrollment ID: I20131203000371 |
| Provider Name | April Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639509219 PECOS PAC ID: 5193953891 Enrollment ID: I20131231001525 |
| Provider Name | Adria Dibenedetto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811326671 PECOS PAC ID: 5395975122 Enrollment ID: I20140224000287 |
| Provider Name | Kimberly Cafaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942642426 PECOS PAC ID: 5890926208 Enrollment ID: I20140328000952 |
| Provider Name | Brandon D Pervis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821405127 PECOS PAC ID: 3072732684 Enrollment ID: I20140915000186 |
| 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 | Lee Siuzdak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124323878 PECOS PAC ID: 4486976149 Enrollment ID: I20141208001498 |
| Provider Name | Moghees Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124333125 PECOS PAC ID: 2163666322 Enrollment ID: I20150203000186 |
| Provider Name | Jamie Moore-torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912396078 PECOS PAC ID: 0941525810 Enrollment ID: I20150217001779 |
| Provider Name | Marina Melnikov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407284052 PECOS PAC ID: 5890006092 Enrollment ID: I20150615001121 |
| Provider Name | Ellen Marie Galat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093725848 PECOS PAC ID: 8224347885 Enrollment ID: I20151021002007 |
| Provider Name | Kelley Machado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417328634 PECOS PAC ID: 8921308941 Enrollment ID: I20151124000944 |
| 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 | Roshelle Tappin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821454158 PECOS PAC ID: 2961701602 Enrollment ID: I20160429001483 |
| Provider Name | Judith Devoe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861855595 PECOS PAC ID: 9537468962 Enrollment ID: I20160505001735 |
| Provider Name | Martha Jean Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598132581 PECOS PAC ID: 6204146376 Enrollment ID: I20160520000477 |
| Provider Name | Karen Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154591394 PECOS PAC ID: 1456422203 Enrollment ID: I20160607002477 |
| Provider Name | Marisa Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487891545 PECOS PAC ID: 0143456830 Enrollment ID: I20160621000436 |
| Provider Name | Halina Gorecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346696887 PECOS PAC ID: 7113218769 Enrollment ID: I20160629000487 |
| Provider Name | Amer Nabil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699134445 PECOS PAC ID: 9436441029 Enrollment ID: I20160629002201 |
| Provider Name | Lisa Umanita |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811440480 PECOS PAC ID: 1254627565 Enrollment ID: I20160913002393 |
| Provider Name | Jerri A Levenson Hamby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124483144 PECOS PAC ID: 4587951900 Enrollment ID: I20160928000700 |
| Provider Name | Shelley A Christ |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972959039 PECOS PAC ID: 8123342102 Enrollment ID: I20161007000648 |
| 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 | Shantelle Brokaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114462561 PECOS PAC ID: 7517241177 Enrollment ID: I20170227000256 |
| Provider Name | Terese Fagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023568961 PECOS PAC ID: 3375827538 Enrollment ID: I20170307001531 |
| Provider Name | Angela O Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477092773 PECOS PAC ID: 0143506923 Enrollment ID: I20170410001453 |
| Provider Name | Chanon C Biceglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083147219 PECOS PAC ID: 7911274733 Enrollment ID: I20170530000504 |
| Provider Name | Verona Sonia Gordon Khouri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164957809 PECOS PAC ID: 9234406711 Enrollment ID: I20170605001940 |
| Provider Name | Nicole Weld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366963704 PECOS PAC ID: 3577836386 Enrollment ID: I20170830000828 |
| Provider Name | Jaclyn Birn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205353919 PECOS PAC ID: 6507130648 Enrollment ID: I20170927004657 |
| Provider Name | Jordyn R Perlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487949731 PECOS PAC ID: 9032476031 Enrollment ID: I20171129002344 |
| Provider Name | Waqar Ahmad Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396030631 PECOS PAC ID: 0840509931 Enrollment ID: I20180105000252 |
| Provider Name | Felisha Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851805832 PECOS PAC ID: 4688934078 Enrollment ID: I20180202001404 |
| Provider Name | Janice Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902314370 PECOS PAC ID: 8426318213 Enrollment ID: I20180216001753 |
| Provider Name | Stephanie Larose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235647181 PECOS PAC ID: 4385905876 Enrollment ID: I20180226000081 |
| Provider Name | Bennett Edward Moehl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063674893 PECOS PAC ID: 3678835931 Enrollment ID: I20180326002013 |
| Provider Name | Andrea Rindone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003318262 PECOS PAC ID: 3678836186 Enrollment ID: I20180416002104 |
| Provider Name | Michele Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144728841 PECOS PAC ID: 7113282682 Enrollment ID: I20180604002003 |
| Provider Name | Joseph A Cherepon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366928053 PECOS PAC ID: 3779832480 Enrollment ID: I20180814000759 |
| Provider Name | Nigel Rodney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023595147 PECOS PAC ID: 3274882386 Enrollment ID: I20180823000813 |
| Provider Name | Chana J Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144706631 PECOS PAC ID: 7113277138 Enrollment ID: I20180912000962 |
| Provider Name | Luis Jaramillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245600451 PECOS PAC ID: 3072865062 Enrollment ID: I20181002001629 |
| Provider Name | Suzanne Viger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760957526 PECOS PAC ID: 8628322278 Enrollment ID: I20181116001661 |
| Provider Name | Alexia Cortella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063996221 PECOS PAC ID: 5597000273 Enrollment ID: I20181227002374 |
| Provider Name | Sasha Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003385451 PECOS PAC ID: 5597001719 Enrollment ID: I20190109001465 |
| Provider Name | Lynn S. Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073082343 PECOS PAC ID: 2961749486 Enrollment ID: I20190122003141 |
| Provider Name | Jennifer Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821587239 PECOS PAC ID: 8820335029 Enrollment ID: I20190125001918 |
| Provider Name | Jennifer B. Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306319413 PECOS PAC ID: 8921347824 Enrollment ID: I20190311000997 |
| Provider Name | Jeanne C Percy-rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255809125 PECOS PAC ID: 0345581070 Enrollment ID: I20190408000886 |
| Provider Name | Erik Toce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689907941 PECOS PAC ID: 2961733092 Enrollment ID: I20191003002954 |
| Provider Name | Debra Lee Sicilian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386101798 PECOS PAC ID: 9638400799 Enrollment ID: I20191004000406 |
| Provider Name | Ann Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073568101 PECOS PAC ID: 5395754212 Enrollment ID: I20200401000201 |
| Provider Name | Dina Cowles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467078345 PECOS PAC ID: 9032536925 Enrollment ID: I20200824001160 |
| Provider Name | Priya Pandit |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245528579 PECOS PAC ID: 3577974823 Enrollment ID: I20201118001033 |
| Provider Name | Alicja Jedrychowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528674629 PECOS PAC ID: 9436560349 Enrollment ID: I20201125002103 |
| Provider Name | Eulah Lacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134735210 PECOS PAC ID: 3072926617 Enrollment ID: I20201229000308 |
| Provider Name | Mijung Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700492006 PECOS PAC ID: 3072926195 Enrollment ID: I20210111001936 |
| Provider Name | Marina Odackal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750967816 PECOS PAC ID: 5597165746 Enrollment ID: I20210610000597 |
| Provider Name | Amanda Gremo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730692559 PECOS PAC ID: 6608277678 Enrollment ID: I20210628003049 |
| Provider Name | Charmaine B Webley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376014902 PECOS PAC ID: 4183950991 Enrollment ID: I20210728002896 |
| Provider Name | Joette Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669862058 PECOS PAC ID: 5890183586 Enrollment ID: I20211029001037 |
| Provider Name | Courtney Streeto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023627726 PECOS PAC ID: 9830587245 Enrollment ID: I20211103002122 |
| Provider Name | Mallory Alexis Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255009056 PECOS PAC ID: 2567850928 Enrollment ID: I20211104000523 |
| Provider Name | Sonia M Dias-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558933150 PECOS PAC ID: 2567850951 Enrollment ID: I20211104001885 |
| Provider Name | Brooke Giordano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851060404 PECOS PAC ID: 4183013550 Enrollment ID: I20211105002316 |
| Provider Name | Leah Renee Garton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265197750 PECOS PAC ID: 0446649164 Enrollment ID: I20211117002226 |
| Provider Name | Jessica Sarkisian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952076564 PECOS PAC ID: 4688063167 Enrollment ID: I20211123001237 |
| Provider Name | Shakeria C Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043818966 PECOS PAC ID: 2860885365 Enrollment ID: I20220204001684 |
| Provider Name | Kaitlin Magalnick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548918709 PECOS PAC ID: 1153717830 Enrollment ID: I20220405002753 |
| Provider Name | Antonio Okosky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467199760 PECOS PAC ID: 9638558125 Enrollment ID: I20220613002532 |
| Provider Name | Shannon Klock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992449649 PECOS PAC ID: 7315314671 Enrollment ID: I20221031001315 |
| Provider Name | Saabreenah Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457085227 PECOS PAC ID: 7315314564 Enrollment ID: I20221101002608 |
| Provider Name | Chinedu Ibemadu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679270979 PECOS PAC ID: 6901262054 Enrollment ID: I20230516003457 |
| Provider Name | Sundar Ramaswami |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154469666 PECOS PAC ID: 2264899418 Enrollment ID: I20230605001063 |
| Provider Name | Jennie Song |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427496108 PECOS PAC ID: 2466819438 Enrollment ID: I20230606003153 |
| Provider Name | Jessica Markowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568143618 PECOS PAC ID: 2668836008 Enrollment ID: I20230918003932 |
| Provider Name | Elizabeth Cameron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598448078 PECOS PAC ID: 3577917210 Enrollment ID: I20230928001557 |
| Provider Name | Penny Knack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215135314 PECOS PAC ID: 6800242041 Enrollment ID: I20231025001058 |
| Provider Name | Sasha Graham-givans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437832136 PECOS PAC ID: 4183070204 Enrollment ID: I20231026000803 |
| Provider Name | Katherine Mcburney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811343262 PECOS PAC ID: 6002263845 Enrollment ID: I20231115002871 |
| Provider Name | Mallory Akin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467238162 PECOS PAC ID: 7810346459 Enrollment ID: I20231208000379 |
Counseling Ap Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Avon Meadow Ln Bldg 40, Avon, CT 06001 Phone: 860-944-1700 | |
Helena E Gagnon Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 W Main St, Avon, CT 06001 Phone: 413-486-0981 Fax: 413-707-1032 | |
Liberty Treatment Of Virginia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Great Meadow Ln, Avon, CT 06001 Phone: 959-226-8411 | |
U Are Heard Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 W Main St Ste 201, Avon, CT 06001 Phone: 860-836-3821 | |
Jennifer M. Lapenta, Lcsw, L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Avon Meadow Ln, Suite 6, Avon, CT 06001 Phone: 860-761-3896 | |
Rahel K. Saroff Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Towpath Lane, Avon, CT 06001 Phone: 860-335-6707 | |
Hartford Healthcare Urgent Care Centers, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 385 W Main St, Avon, CT 06001 Phone: 860-696-2150 Fax: 860-696-2160 |