| Mansfield Mental Health And Addiction Medicine | |
|
207 Storrs Rd Mansfield Center CT 06250-1638 | |
| (347) 872-3612 | |
| (860) 942-8830 |
| Full Name | Mansfield Mental Health And Addiction Medicine |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 207 Storrs Rd, Mansfield Center, Connecticut |
| Authorized Official Name and Position | Gengyun Wen (PSYCHIATRIST) |
| Authorized Official Contact | 8603368017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansfield Mental Health And Addiction Medicine 207 Storrs Rd Mansfield Center CT 06250-1638 Ph: (860) 942-8826 | Mansfield Mental Health And Addiction Medicine 207 Storrs Rd Mansfield Center CT 06250-1638 Ph: (347) 872-3612 |
| NPI Number | 1366958480 |
|---|---|
| Provider Enumeration Date | 12/27/2017 |
| Last Update Date | 09/19/2025 |
| Certification Date | 09/19/2025 |
| Medicare PECOS PAC ID | 6305259243 |
|---|---|
| Medicare Enrollment ID | O20210113002113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366958480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 54266 (Connecticut) | Primary |
| Provider Name | Gengyun Wen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215367081 PECOS PAC ID: 8224318365 Enrollment ID: I20161207002573 |
| Provider Name | Thomas Ranallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609263938 PECOS PAC ID: 6800221813 Enrollment ID: I20200122001514 |
Mary Kinsella-shaw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Warrenville Rd, Mansfield Center, CT 06250 Phone: 860-450-1173 | |
Ann M. Pacheco Lmft, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2 Mansfield Hollow Rd, Mansfield Center, CT 06250 Phone: 860-423-0877 | |
Tamara Vertefeuille, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Storrs Rd, Mansfield Center, CT 06250 Phone: 860-456-4604 Fax: 860-450-1310 | |
Mount Hope Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Warrenville Rd, Mansfield Center, CT 06250 Phone: 860-429-2463 | |
Danielle N. Christian, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Ledgebrook Dr, Suite E-3, Mansfield Center, CT 06250 Phone: 860-428-0403 | |
Mark Schroeder Md, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 Warrenville Rd, Mansfield Center, CT 06250 Phone: 860-455-9879 | |
Natchaug Hospital, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 189 Storrs Road, Mansfield Center, CT 06250 Phone: 860-456-1311 Fax: 860-450-0165 |