| The Center For Geriatric And Family Psychiatry, Inc. | |
|
67 Eastern Blvd Ste 102 Glastonbury CT 06033-1207 | |
| (860) 657-3056 | |
| (860) 633-3517 |
| Full Name | The Center For Geriatric And Family Psychiatry, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 67 Eastern Blvd Ste 102, Glastonbury, Connecticut |
| Authorized Official Name and Position | Harry E. Morgan (PRESIDENT) |
| Authorized Official Contact | 8606573056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Geriatric And Family Psychiatry, Inc. 67 Eastern Blvd Glastonbury CT 06033-1207 Ph: (860) 657-3056 | The Center For Geriatric And Family Psychiatry, Inc. 67 Eastern Blvd Ste 102 Glastonbury CT 06033-1207 Ph: (860) 657-3056 |
| NPI Number | 1831134766 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 05/14/2025 |
| Certification Date | 05/14/2025 |
| Medicare PECOS PAC ID | 8527059955 |
|---|---|
| Medicare Enrollment ID | O20040524000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831134766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Harry E Morgan |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1609804905 PECOS PAC ID: 9830180264 Enrollment ID: I20100916000091 |
| Provider Name | Victoria L Bourque |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1982638375 PECOS PAC ID: 4688860380 Enrollment ID: I20101119001012 |
| Provider Name | Karen A Shanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295763126 PECOS PAC ID: 4880751510 Enrollment ID: I20110818000093 |
| Provider Name | Laurah Jean Michaels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619540945 PECOS PAC ID: 0042615551 Enrollment ID: I20210821000423 |
| Provider Name | Marc D Gagnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508631623 PECOS PAC ID: 9739532474 Enrollment ID: I20240129003559 |
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