| Impact Health P.c. | |
|
240 Indian River Rd Ste C7 Orange CT 06477-3691 | |
| (203) 497-3861 | |
| Not Available |
| Full Name | Impact Health P.c. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 240 Indian River Rd Ste C7, Orange, Connecticut |
| Authorized Official Name and Position | Suzanne Malerba (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2039880776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Health P.c. 240 Indian River Rd Ste C7 Orange CT 06477-3691 Ph: (000) 000-0000 | Impact Health P.c. 240 Indian River Rd Ste C7 Orange CT 06477-3691 Ph: (203) 497-3861 |
| NPI Number | 1730694316 |
|---|---|
| Provider Enumeration Date | 12/05/2017 |
| Last Update Date | 04/03/2026 |
| Certification Date | 04/03/2026 |
| Medicare PECOS PAC ID | 0941562664 |
|---|---|
| Medicare Enrollment ID | O20180316001315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730694316 | NPI | - | NPPES |
| Provider Name | Susan A Hackel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689620312 PECOS PAC ID: 5193790863 Enrollment ID: I20040827000255 |
| Provider Name | Jay K Berkowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255382396 PECOS PAC ID: 4688622319 Enrollment ID: I20050110000231 |
| Provider Name | Sheri S Kipperman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952496671 PECOS PAC ID: 3870530959 Enrollment ID: I20050411000506 |
| Provider Name | Anura Desilva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275539892 PECOS PAC ID: 6709829500 Enrollment ID: I20050602000783 |
| Provider Name | Leslie A Stocking-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790730950 PECOS PAC ID: 6507801842 Enrollment ID: I20050627000918 |
| Provider Name | Elysa M Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386621266 PECOS PAC ID: 1951347822 Enrollment ID: I20050630000445 |
| Provider Name | Shannon S Desimone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669456976 PECOS PAC ID: 9335122787 Enrollment ID: I20051027000794 |
| Provider Name | Ellen Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710058144 PECOS PAC ID: 9335140292 Enrollment ID: I20070122000072 |
| Provider Name | Ann S Mesinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396757902 PECOS PAC ID: 1456445568 Enrollment ID: I20070920000347 |
| Provider Name | Donna M Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154577047 PECOS PAC ID: 2567538846 Enrollment ID: I20080910000573 |
| Provider Name | Thuraya A Abdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124272950 PECOS PAC ID: 0143381376 Enrollment ID: I20081206000082 |
| Provider Name | Renee Donnarumma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831335462 PECOS PAC ID: 1355406661 Enrollment ID: I20090220000511 |
| Provider Name | Lisa D Consiglio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952535825 PECOS PAC ID: 2961554191 Enrollment ID: I20090717000525 |
| Provider Name | Renato S Abastillas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568795821 PECOS PAC ID: 0345386058 Enrollment ID: I20091012000146 |
| Provider Name | Jill Monda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336125335 PECOS PAC ID: 0648318048 Enrollment ID: I20091104000573 |
| Provider Name | Sheila A Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639317787 PECOS PAC ID: 0648319277 Enrollment ID: I20091120000173 |
| Provider Name | Elizabeth G Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780910836 PECOS PAC ID: 5991845927 Enrollment ID: I20091222000531 |
| Provider Name | Maureen V Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972825669 PECOS PAC ID: 3274678560 Enrollment ID: I20100311000516 |
| Provider Name | Kandiah Sritharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124009964 PECOS PAC ID: 5092839860 Enrollment ID: I20100831000412 |
| Provider Name | Meredith Ribaudo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306142351 PECOS PAC ID: 6305020694 Enrollment ID: I20110411000820 |
| Provider Name | Tyler Dewhurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336153386 PECOS PAC ID: 5698735959 Enrollment ID: I20111227000130 |
| Provider Name | Teresa Drako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720357676 PECOS PAC ID: 1850550302 Enrollment ID: I20120302000196 |
| Provider Name | Nick Ramandi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124219050 PECOS PAC ID: 2062668163 Enrollment ID: I20120806000343 |
| Provider Name | Lyla Natt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346506896 PECOS PAC ID: 6901059815 Enrollment ID: I20121228000412 |
| Provider Name | Tasha L Cuvi-acosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033458344 PECOS PAC ID: 8325284524 Enrollment ID: I20130412000496 |
| Provider Name | Madelyn Ziino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588097430 PECOS PAC ID: 1052555794 Enrollment ID: I20130918000560 |
| Provider Name | Jane Johansson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821353350 PECOS PAC ID: 0244467629 Enrollment ID: I20131210000511 |
| Provider Name | Tracey Urso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356772107 PECOS PAC ID: 8224268446 Enrollment ID: I20140307000382 |
| Provider Name | Sharon B Rookwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992132237 PECOS PAC ID: 9234360504 Enrollment ID: I20140331000451 |
| Provider Name | Martha I Moreiras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164850756 PECOS PAC ID: 9931332624 Enrollment ID: I20140505000182 |
| Provider Name | Naoise M Perrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023447281 PECOS PAC ID: 6507080199 Enrollment ID: I20140623001255 |
| Provider Name | Ann Marie Ritchie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174923916 PECOS PAC ID: 8921229675 Enrollment ID: I20141021002118 |
| Provider Name | Nicole A Guanco-murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871851311 PECOS PAC ID: 9032435334 Enrollment ID: I20150304000848 |
| Provider Name | Karen H Stickney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366839334 PECOS PAC ID: 1456662634 Enrollment ID: I20150615000689 |
| Provider Name | Ellen Marie Galat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093725848 PECOS PAC ID: 8224347885 Enrollment ID: I20151021002007 |
| Provider Name | Felicia S Addae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396112207 PECOS PAC ID: 3173832607 Enrollment ID: I20151022001634 |
| Provider Name | Loreen M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285003988 PECOS PAC ID: 5193025278 Enrollment ID: I20151120001785 |
| Provider Name | Kevin Dinsmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447625785 PECOS PAC ID: 8921305178 Enrollment ID: I20160401001499 |
| Provider Name | Roshelle Tappin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821454158 PECOS PAC ID: 2961701602 Enrollment ID: I20160429001483 |
| Provider Name | Samantha Belmont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659737914 PECOS PAC ID: 7315236379 Enrollment ID: I20160513000906 |
| Provider Name | Martha Jean Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598132581 PECOS PAC ID: 6204146376 Enrollment ID: I20160520000477 |
| Provider Name | Lindsey Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669926960 PECOS PAC ID: 5092002378 Enrollment ID: I20160930000363 |
| Provider Name | Katherine Roarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407177496 PECOS PAC ID: 1759669658 Enrollment ID: I20161027001698 |
| Provider Name | Karen M Mcgowan-cottle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225487838 PECOS PAC ID: 1153601299 Enrollment ID: I20161207002506 |
| Provider Name | Awilda Lugo Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821534215 PECOS PAC ID: 7517242134 Enrollment ID: I20170322002607 |
| Provider Name | Lindsay Wayman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730631342 PECOS PAC ID: 0042596785 Enrollment ID: I20170413000205 |
| Provider Name | Jaclyn Jermine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629528872 PECOS PAC ID: 7416234042 Enrollment ID: I20170508001331 |
| 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 | Jennifer N Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629593744 PECOS PAC ID: 0547534745 Enrollment ID: I20170927002398 |
| Provider Name | Jillian Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124543632 PECOS PAC ID: 4981979903 Enrollment ID: I20171002000934 |
| Provider Name | Melissa Blackburn Kierkla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164461273 PECOS PAC ID: 7517145162 Enrollment ID: I20171006002206 |
| Provider Name | Leah D Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679024541 PECOS PAC ID: 5193092666 Enrollment ID: I20171009003482 |
| Provider Name | Christine M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336650001 PECOS PAC ID: 8022375419 Enrollment ID: I20171120000633 |
| Provider Name | Darcey R Cusano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114414547 PECOS PAC ID: 9739443946 Enrollment ID: I20180515002370 |
| Provider Name | Michael Edward Hawthorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275043077 PECOS PAC ID: 0749536696 Enrollment ID: I20180706001081 |
| Provider Name | Nigel Rodney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023595147 PECOS PAC ID: 3274882386 Enrollment ID: I20180823000813 |
| Provider Name | Kristy Sonstroem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699256552 PECOS PAC ID: 1456601400 Enrollment ID: I20180912002005 |
| Provider Name | Vicky Deuboue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881064137 PECOS PAC ID: 2668772799 Enrollment ID: I20180917000776 |
| Provider Name | Sarah M Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063994812 PECOS PAC ID: 7416200266 Enrollment ID: I20181025001063 |
| Provider Name | Rebecca Marino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083197180 PECOS PAC ID: 0840543484 Enrollment ID: I20181029000432 |
| Provider Name | Jaclyn N Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326528415 PECOS PAC ID: 4385998764 Enrollment ID: I20181121002430 |
| Provider Name | Nicole Radi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023480829 PECOS PAC ID: 6204139827 Enrollment ID: I20181126000132 |
| Provider Name | Amanda Elyse Costella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245705516 PECOS PAC ID: 7618214750 Enrollment ID: I20190128000445 |
| Provider Name | Douglas Jason Lieberman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942780382 PECOS PAC ID: 9537412119 Enrollment ID: I20190523001660 |
| Provider Name | Patience Oghomwenyemwen Akugue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760034086 PECOS PAC ID: 9830427004 Enrollment ID: I20190826002864 |
| Provider Name | Christine Ann Nucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386204238 PECOS PAC ID: 5395074348 Enrollment ID: I20190917001243 |
| Provider Name | Katelyn Mary Cifone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689221731 PECOS PAC ID: 8022348861 Enrollment ID: I20190923000337 |
| Provider Name | Debra Lee Sicilian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386101798 PECOS PAC ID: 9638400799 Enrollment ID: I20191004000406 |
| Provider Name | Neethu Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891338398 PECOS PAC ID: 8729410196 Enrollment ID: I20191125000282 |
| Provider Name | Ifeyinwa Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457998502 PECOS PAC ID: 5698100543 Enrollment ID: I20200122003140 |
| Provider Name | Renate Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972152338 PECOS PAC ID: 4486089257 Enrollment ID: I20200124001378 |
| Provider Name | Julia Ellen Muldoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922648641 PECOS PAC ID: 8527495019 Enrollment ID: I20200221002124 |
| Provider Name | Michelle O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275015224 PECOS PAC ID: 4284063157 Enrollment ID: I20200330001220 |
| Provider Name | Brooke Fortenberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700415379 PECOS PAC ID: 7517397672 Enrollment ID: I20200414001809 |
| Provider Name | Natalie Dixon-allicock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427529494 PECOS PAC ID: 2961823026 Enrollment ID: I20200528002315 |
| Provider Name | Paul Mainella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033727078 PECOS PAC ID: 0941610463 Enrollment ID: I20201111001947 |
| Provider Name | Melissa Dest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578018776 PECOS PAC ID: 2365856754 Enrollment ID: I20210126001847 |
| Provider Name | Katelin Ashley Bouchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013507110 PECOS PAC ID: 2567878275 Enrollment ID: I20210304000071 |
| Provider Name | Charles Ollero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780271387 PECOS PAC ID: 6305252842 Enrollment ID: I20210309001408 |
| Provider Name | Adriana Spino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942899638 PECOS PAC ID: 7012325426 Enrollment ID: I20210426000302 |
| Provider Name | Ingrid Teixeira Furchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215512264 PECOS PAC ID: 2365841699 Enrollment ID: I20210519000078 |
| Provider Name | Charmaine B Webley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376014902 PECOS PAC ID: 4183950991 Enrollment ID: I20210728002896 |
| Provider Name | Theresa Sheahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871023341 PECOS PAC ID: 4082989330 Enrollment ID: I20210810003128 |
| Provider Name | Jennifer Whittaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578237400 PECOS PAC ID: 0749684892 Enrollment ID: I20211012001845 |
| Provider Name | Shalenta Hardison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598176273 PECOS PAC ID: 7719376946 Enrollment ID: I20211110000280 |
| Provider Name | Alexandra Compton Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659893212 PECOS PAC ID: 3072907575 Enrollment ID: I20220228000178 |
| Provider Name | Laquisha Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043740475 PECOS PAC ID: 4082977699 Enrollment ID: I20220228001602 |
| Provider Name | Jamie Downer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689113433 PECOS PAC ID: 3678840675 Enrollment ID: I20220311000464 |
| Provider Name | Marie Paule Heylen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891042644 PECOS PAC ID: 5698925253 Enrollment ID: I20221005000741 |
| Provider Name | Halie Martinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265150965 PECOS PAC ID: 3274909197 Enrollment ID: I20221018002755 |
| Provider Name | Tyesha E Batchelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881312395 PECOS PAC ID: 3870963291 Enrollment ID: I20221229002415 |
| Provider Name | Freddie Dayao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447967559 PECOS PAC ID: 8022489699 Enrollment ID: I20230118000571 |
| Provider Name | Carissa Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20230220001663 |
| Provider Name | Navadi Nieves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578244844 PECOS PAC ID: 2668826736 Enrollment ID: I20230922001301 |
| Provider Name | Rita Poku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467159962 PECOS PAC ID: 9133584105 Enrollment ID: I20231005003319 |
| Provider Name | Kimberly Yartklang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740670421 PECOS PAC ID: 0042517609 Enrollment ID: I20231129003586 |
| Provider Name | Bruna Sokoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518738590 PECOS PAC ID: 5698110492 Enrollment ID: I20240304000470 |
| Provider Name | Mary Karcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801429931 PECOS PAC ID: 5496183527 Enrollment ID: I20240501000388 |
| Provider Name | Samantha Bixby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093566267 PECOS PAC ID: 5799125167 Enrollment ID: I20240502000609 |
| Provider Name | Roxanne Chase-wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336395532 PECOS PAC ID: 3779626288 Enrollment ID: I20240503000067 |
| Provider Name | Chaoxia Feng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770363657 PECOS PAC ID: 2264873579 Enrollment ID: I20240516002408 |
| Provider Name | Eileen Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669804274 PECOS PAC ID: 7012142482 Enrollment ID: I20240830001444 |
| Provider Name | Esther Greenwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689267080 PECOS PAC ID: 1658770037 Enrollment ID: I20240925003424 |
| Provider Name | Pauline Delinois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275183931 PECOS PAC ID: 1658785142 Enrollment ID: I20241002003901 |
| Provider Name | Caitlin Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740919513 PECOS PAC ID: 8325416258 Enrollment ID: I20241023002454 |
| Provider Name | Miranda Saint-louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922484898 PECOS PAC ID: 2365731676 Enrollment ID: I20241104000990 |
| Provider Name | Ngan Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336887587 PECOS PAC ID: 2567846256 Enrollment ID: I20250225001297 |
| Provider Name | Sandra Michelle Sudduth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386317550 PECOS PAC ID: 2062896780 Enrollment ID: I20250317002463 |
| Provider Name | Corrine Monique Rotas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295537223 PECOS PAC ID: 1951826411 Enrollment ID: I20250416003278 |
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Language Of The Heart Psychotherapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 284 Racebrook Rd, Orange, CT 06477 Phone: 203-218-9969 | |
Personal Growth & Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Old Tavern Rd, Suite 101, Orange, CT 06477 Phone: 203-515-6296 | |
Lifespring, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 Boston Post Rd, Orange, CT 06477 Phone: 203-687-3096 | |
Integrative Wellness & Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 836 Baldwin Rd, Orange, CT 06477 Phone: 203-589-2732 |