| Value Based Long Term Care K PC | |
|
5 Research Dr Shelton CT 06484-6232 | |
| (203) 901-2493 | |
| (866) 497-2991 |
| Full Name | Value Based Long Term Care K PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 Research Dr, Shelton, Connecticut |
| Authorized Official Name and Position | Manoj Wadhwani (OWNER) |
| Authorized Official Contact | 2039012493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Value Based Long Term Care K PC 5 Research Dr Shelton CT 06484-6232 Ph: (203) 901-2493 | Value Based Long Term Care K PC 5 Research Dr Shelton CT 06484-6232 Ph: (203) 901-2493 |
| NPI Number | 1831921378 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Medicare PECOS PAC ID | 1355881418 |
|---|---|
| Medicare Enrollment ID | O20240904003650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831921378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Jill L Duboff-jacomini |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1538142435 PECOS PAC ID: 9638081763 Enrollment ID: I20031105000553 |
| Provider Name | Martin M Cooper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174576334 PECOS PAC ID: 0547150773 Enrollment ID: I20040401000127 |
| Provider Name | Melissa Gatica |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225118797 PECOS PAC ID: 6103802129 Enrollment ID: I20040629000558 |
| Provider Name | Anneliis Koiv |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649340175 PECOS PAC ID: 2668411893 Enrollment ID: I20050427001056 |
| Provider Name | Cynthia L Nye |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124070362 PECOS PAC ID: 1052322625 Enrollment ID: I20060510000345 |
| Provider Name | Akiva Bronstein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164458204 PECOS PAC ID: 7517947450 Enrollment ID: I20061221000441 |
| Provider Name | Sudhakar S Shetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104858026 PECOS PAC ID: 8224137716 Enrollment ID: I20070625000380 |
| Provider Name | Tariq Latif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992844419 PECOS PAC ID: 5698876316 Enrollment ID: I20070725000479 |
| Provider Name | Carla Corcione |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134301013 PECOS PAC ID: 5799865515 Enrollment ID: I20080107000531 |
| Provider Name | Michele M Kieras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821125089 PECOS PAC ID: 1052489358 Enrollment ID: I20081013000540 |
| Provider Name | Rebecca a Strubbe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629250246 PECOS PAC ID: 8921151796 Enrollment ID: I20090728000249 |
| Provider Name | Danil Anisimov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114150984 PECOS PAC ID: 0345387734 Enrollment ID: I20091015000672 |
| Provider Name | Bachaar Arnaout |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962676049 PECOS PAC ID: 4981735115 Enrollment ID: I20100701000344 |
| Provider Name | Niloni H Vora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134371032 PECOS PAC ID: 7517099377 Enrollment ID: I20100715000019 |
| Provider Name | Ayesha Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487684742 PECOS PAC ID: 7113056912 Enrollment ID: I20100924000671 |
| 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 | Cara Newton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427326081 PECOS PAC ID: 0840466652 Enrollment ID: I20111228000685 |
| Provider Name | Rose Yu Chin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891867693 PECOS PAC ID: 5294631891 Enrollment ID: I20130520000281 |
| Provider Name | Genevieve a Henry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891956827 PECOS PAC ID: 4284877341 Enrollment ID: I20130821000822 |
| Provider Name | April Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639509219 PECOS PAC ID: 5193953891 Enrollment ID: I20131231001525 |
| Provider Name | Deborah S Guidetti Gerwien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821420563 PECOS PAC ID: 3173751492 Enrollment ID: I20140114000317 |
| Provider Name | Jessica L Encarnacion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851514392 PECOS PAC ID: 0446471973 Enrollment ID: I20141024001357 |
| Provider Name | Catherine Catti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023410743 PECOS PAC ID: 1850613761 Enrollment ID: I20141204000202 |
| Provider Name | Alex Deshields |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497916472 PECOS PAC ID: 0446575872 Enrollment ID: I20150206000550 |
| Provider Name | Sarah Bione-dunn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356579395 PECOS PAC ID: 9032438171 Enrollment ID: I20150512001267 |
| Provider Name | Joan E. Guerrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104296458 PECOS PAC ID: 3577863448 Enrollment ID: I20151125000518 |
| Provider Name | Emily Sloan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568837615 PECOS PAC ID: 8426354945 Enrollment ID: I20160309002697 |
| Provider Name | Kimberley P Bedard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265881759 PECOS PAC ID: 1557656428 Enrollment ID: I20160817002102 |
| Provider Name | Carroll Nsubuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285187781 PECOS PAC ID: 1557649233 Enrollment ID: I20161101000158 |
| Provider Name | April Duryea-racanelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982845293 PECOS PAC ID: 6901187269 Enrollment ID: I20161228000124 |
| Provider Name | Barbara a Wille Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891239497 PECOS PAC ID: 4880976067 Enrollment ID: I20170124000479 |
| Provider Name | Lisa C Hayden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740241512 PECOS PAC ID: 9133498967 Enrollment ID: I20170710002434 |
| Provider Name | Camille N Alvarado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417393356 PECOS PAC ID: 6305167222 Enrollment ID: I20171227001298 |
| Provider Name | Dorothy Mueller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992816490 PECOS PAC ID: 0143228296 Enrollment ID: I20180503001194 |
| Provider Name | Annie L Morosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649764952 PECOS PAC ID: 3274880158 Enrollment ID: I20180724001228 |
| Provider Name | Constantino Papadopoulos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700377546 PECOS PAC ID: 6305180720 Enrollment ID: I20181211003200 |
| Provider Name | Seth R Banever |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013302264 PECOS PAC ID: 3971838962 Enrollment ID: I20190712002146 |
| Provider Name | Kelly Katara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437710894 PECOS PAC ID: 5597092205 Enrollment ID: I20190802002149 |
| Provider Name | Tiffany Otto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033770698 PECOS PAC ID: 2769710375 Enrollment ID: I20190821000374 |
| Provider Name | Maria Masotta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346396660 PECOS PAC ID: 7113178294 Enrollment ID: I20200323000854 |
| Provider Name | Jennifer M Lapenta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982701330 PECOS PAC ID: 5991125155 Enrollment ID: I20201009001075 |
| Provider Name | Elina Alfin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669029310 PECOS PAC ID: 3072923549 Enrollment ID: I20201112000881 |
| Provider Name | Ian Macdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376030668 PECOS PAC ID: 0840608881 Enrollment ID: I20210413000224 |
| Provider Name | Cathleen Pallotti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528632924 PECOS PAC ID: 3678973484 Enrollment ID: I20210616001653 |
| Provider Name | Rana Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861924037 PECOS PAC ID: 3678844644 Enrollment ID: I20211008001765 |
| Provider Name | Taylor Adah Humbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437469426 PECOS PAC ID: 6103217773 Enrollment ID: I20211216000344 |
| Provider Name | Nora Frempong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821740382 PECOS PAC ID: 8921495375 Enrollment ID: I20220503002394 |
| Provider Name | Javeeria Manzoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396038691 PECOS PAC ID: 1456669944 Enrollment ID: I20220503002517 |
| Provider Name | Nicole Katherine Mcenerney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972264158 PECOS PAC ID: 4486035243 Enrollment ID: I20220726000239 |
| Provider Name | Susan J Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700106606 PECOS PAC ID: 9335521194 Enrollment ID: I20220727001022 |
| Provider Name | Debra Majeske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023726247 PECOS PAC ID: 7911376389 Enrollment ID: I20221206002681 |
| Provider Name | Sarah Turrentine Hodgson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376718866 PECOS PAC ID: 3870966385 Enrollment ID: I20230303001214 |
| Provider Name | Ariana Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952028268 PECOS PAC ID: 2163885641 Enrollment ID: I20230831000489 |
| Provider Name | Roseanne Meyer Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396520730 PECOS PAC ID: 1658728118 Enrollment ID: I20231106002832 |
| Provider Name | Jennifer S Tucker-mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336825611 PECOS PAC ID: 6204283351 Enrollment ID: I20231110000449 |
| Provider Name | Sherieffa Nicola Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184407801 PECOS PAC ID: 0648628370 Enrollment ID: I20231118000475 |
| Provider Name | Thomas Albert Fortier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245095033 PECOS PAC ID: 9032556923 Enrollment ID: I20240327003045 |
| Provider Name | Michael Vincent Pinter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306473970 PECOS PAC ID: 3971928508 Enrollment ID: I20240823002730 |
| Provider Name | Rachael Pachter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548093420 PECOS PAC ID: 3779023619 Enrollment ID: I20240906001360 |
| Provider Name | Amy Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528800588 PECOS PAC ID: 3375084197 Enrollment ID: I20240920000528 |
| Provider Name | Scott Thomas Masse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639917271 PECOS PAC ID: 9537690557 Enrollment ID: I20241002000073 |
| Provider Name | Lori Kendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114731445 PECOS PAC ID: 6901322452 Enrollment ID: I20250428002298 |
| Provider Name | Cristina P Pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346135993 PECOS PAC ID: 2365943180 Enrollment ID: I20250902002387 |
| Provider Name | Mary Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407732811 PECOS PAC ID: 0749783587 Enrollment ID: I20250909004237 |
| Provider Name | Sheri Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902568108 PECOS PAC ID: 6800381831 Enrollment ID: I20251217003741 |
| Provider Name | Melissa Ann Holznagel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255904793 PECOS PAC ID: 2769969609 Enrollment ID: I20260122000204 |
| Provider Name | Tanya Ellingwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114870003 PECOS PAC ID: 1658854302 Enrollment ID: I20260311002708 |
| Provider Name | Jessica Mae Lombardi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821945015 PECOS PAC ID: 5294210365 Enrollment ID: I20260327000680 |
Sage Hollow Health PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5 Research Dr, Shelton, CT 06484 Phone: 203-901-2493 Fax: 866-497-2991 |
Value Based Long Term Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Research Dr Ste 2, Shelton, CT 06484 Phone: 781-343-1475 |
Revival IV and Wellness Clinic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Progress Dr Ste 1d, Shelton, CT 06484 Phone: 475-314-3011 Fax: 475-314-3011 |
Whitman Senior Health PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Research Dr Ste 2, Shelton, CT 06484 Phone: 203-901-2493 Fax: 866-497-2991 |
Lincoln Senior Health PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Research Dr Ste 2, Shelton, CT 06484 Phone: 203-901-2493 Fax: 866-497-2991 |
Washington Senior Health PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Research Dr Ste 2, Shelton, CT 06484 Phone: 203-901-2493 Fax: 866-497-2991 |