| The Healthy Mind Psychiatric Services Pc | |
|
900 Straits Tpke Suite D Middlebury CT 06762-2800 | |
| (203) 270-5575 | |
| (203) 883-0365 |
| Full Name | The Healthy Mind Psychiatric Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 900 Straits Tpke, Middlebury, Connecticut |
| Authorized Official Name and Position | Shah Nawaz (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2032705575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Healthy Mind Psychiatric Services Pc 900 Straits Tpke Suite D Middlebury CT 06762-2800 Ph: (203) 270-5575 | The Healthy Mind Psychiatric Services Pc 900 Straits Tpke Suite D Middlebury CT 06762-2800 Ph: (203) 270-5575 |
| NPI Number | 1063785814 |
|---|---|
| Provider Enumeration Date | 02/09/2012 |
| Last Update Date | 11/17/2014 |
| Medicare PECOS PAC ID | 4082874672 |
|---|---|
| Medicare Enrollment ID | O20120319000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063785814 | NPI | - | NPPES |
| Provider Name | Mary H Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659397461 PECOS PAC ID: 0749277309 Enrollment ID: I20040427000929 |
| Provider Name | Shah Nawaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831128305 PECOS PAC ID: 4688614571 Enrollment ID: I20050510000917 |
| Provider Name | Barbara K Cable |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982633293 PECOS PAC ID: 9032135264 Enrollment ID: I20051018000311 |
| Provider Name | Mahboob A Aslam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801094479 PECOS PAC ID: 5991850646 Enrollment ID: I20090901000257 |
| Provider Name | Joan Pavlinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386721983 PECOS PAC ID: 2163602046 Enrollment ID: I20110209000935 |
| Provider Name | Lori Pelosi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649521352 PECOS PAC ID: 2668624578 Enrollment ID: I20121128000425 |
| Provider Name | Regan M Moriarty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669709135 PECOS PAC ID: 1759533409 Enrollment ID: I20121204000412 |
| Provider Name | Marie C Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396081162 PECOS PAC ID: 8325285794 Enrollment ID: I20130503000116 |
| Provider Name | Kathleen R Schober |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316297419 PECOS PAC ID: 7214174531 Enrollment ID: I20130506000132 |
| Provider Name | Muriel Radocchio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447583133 PECOS PAC ID: 7810213956 Enrollment ID: I20150306001562 |
| Provider Name | Muhammad Rehan Azher Puri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972850170 PECOS PAC ID: 0749591055 Enrollment ID: I20150612000763 |
| Provider Name | Julee Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932658903 PECOS PAC ID: 5799050779 Enrollment ID: I20170929002739 |
| Provider Name | Sandra Fitzgerald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720060296 PECOS PAC ID: 0042663064 Enrollment ID: I20240125004594 |
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