| David C Klein, PHD | |
|
207 Storrs Rd, Mansfield, CT 06250-0174 | |
| (860) 456-4604 | |
| (860) 456-1738 |
| Full Name | David C Klein |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 51 Years |
| Location | 207 Storrs Rd, Mansfield, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952400582 | NPI | - | NPPES |
| 170765 | Other | CT | MHN |
| 5155543 | Other | AETNA | |
| C007612 | Other | TRICARE | |
| P2751860 | Other | OXFORD | |
| 107958 | Other | VALUE OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 000695 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| William W Backus Hospital | Norwich, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The William W Backus Hospital | 0749170645 | 208 |
| Entity Name | Windham Community Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023191467 PECOS PAC ID: 2961309059 Enrollment ID: O20031217000231 |
| Entity Name | The William W Backus Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
| Mailing Address | Practice Location Address |
|---|---|
| David C Klein, PHD Po Box 174, Mansfield, CT 06250-0174 Ph: (860) 456-4604 | David C Klein, PHD 207 Storrs Rd, Mansfield, CT 06250-0174 Ph: (860) 456-4604 |
Jolynn Powers, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 207 Storrs Rd, Mansfield, CT 06250 Phone: 860-456-4604 Fax: 860-456-1738 | |
Dr. Christina Eymard Moore, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 12 C Ledgebrook Drive, Mansfield, CT 06250 Phone: 860-208-8944 |