| Medop Behavioral Health Associates Pc | |
|
55 Hatchetts Hill Rd Old Lyme CT 06371-1534 | |
| (800) 370-3651 | |
| (877) 515-7147 |
| Full Name | Medop Behavioral Health Associates Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 55 Hatchetts Hill Rd, Old Lyme, Connecticut |
| Authorized Official Name and Position | Donna Dooley (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8003703651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medop Behavioral Health Associates Pc 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 Ph: (800) 370-3651 | Medop Behavioral Health Associates Pc 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 Ph: (800) 370-3651 |
| NPI Number | 1053360677 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8224047568 |
|---|---|
| Medicare Enrollment ID | O20060413000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053360677 | NPI | - | NPPES |
| 004262531-MD | Medicaid | CT | |
| 004266004-PHD | Medicaid | CT | |
| 004266020-NP | Medicaid | CT |
| 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 | 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 | Nicola Giordano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225216880 PECOS PAC ID: 1557446929 Enrollment ID: I20090615000199 |
| Provider Name | Adria Dibenedetto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811326671 PECOS PAC ID: 5395975122 Enrollment ID: I20140224000287 |
| Provider Name | Karen Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154591394 PECOS PAC ID: 1456422203 Enrollment ID: I20160607002477 |
| Provider Name | Bennett Edward Moehl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063674893 PECOS PAC ID: 3678835931 Enrollment ID: I20180326002013 |
| Provider Name | Jennifer Lou Landolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679734123 PECOS PAC ID: 2860774064 Enrollment ID: I20180821000527 |
| Provider Name | Gabriell Budoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265911473 PECOS PAC ID: 2062764772 Enrollment ID: I20181008003021 |
Old Lyme Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Davis Rd W, Suite 6, Old Lyme, CT 06371 Phone: 860-617-4082 | |
The Hope Connection Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 83 Halls Rd, Suite 203, Old Lyme, CT 06371 Phone: 860-598-0111 | |
Sabine Odonnell Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Halls Rd, Old Lyme, CT 06371 Phone: 860-388-8029 | |
Lymes' Youth Service Bureau Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Lyme St, Old Lyme, CT 06371 Phone: 860-434-7208 Fax: 860-434-1580 | |
Joann Flynn Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Swanswood Ln, Old Lyme, CT 06371 Phone: 860-460-7051 | |
Michelle M Gienau, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 19 Halls Rd, # 234, Old Lyme, CT 06371 Phone: 860-434-5398 Fax: 860-434-5473 |