PATRICE ANTHIA MOULTON (NPI# 1003359761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003359761 |
| Entity Type | Individual |
| Full Name | PATRICE ANTHIA MOULTON |
| Credential | LPC |
| Practice Address |
3 Northwestern Dr Bloomfield CT 06002-3465 |
| Mailing Address |
38 Bennett Cir Hartford CT 06120-1153 |
| Practice Telephone | 8602433477 |
| Practice Fax Number | 8602433224 |
| Mailing Telephone | 8609850284 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
3824 | CT | Behavioral Health & Social Service Providers |
| Street Address |
3 NORTHWESTERN DR |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-3465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720092422 | Ronald Loius Bucari | Dentist | 3 Northwestern Dr, Bloomfield, CT 06002-3465 | 2006-07-28 |
| 1891970588 | Lori L. Fritts, Md, LLC | Surgery | 3 Northwestern Dr, Bloomfield, CT 06002-3465 | 2008-01-01 |
| 1114048519 | Family Dental Practice of Bloomfield | Dentist | 3 Northwestern Dr, Bloomfield, CT 06002-3465 | 2007-04-03 |
| 1255452660 | Jonathan Eric Mason | Dentist | 3 Northwestern Dr, Bloomfield, CT 06002-3465 | 2007-04-03 |
| 1366561201 | Jeffrey R. Morris | Dentist | 3 Northwestern Dr, Bloomfield, CT 06002-3465 | 2007-03-29 |
| 1154440071 | Stephen H Mason | Dentist | 3 Northwestern Dr, Bloomfield, CT 06002-3465 | 2007-03-29 |
| 1447379516 | Steven Meltzer | Dentist | 3 Northwestern Dr, Bloomfield, CT 06002-3465 | 2007-03-28 |
| 1295867737 | Lori L. Fritts | Surgery | 3 Northwestern Dr, Bloomfield, CT 06002-3465 | 2007-03-11 |
| 1164574828 | Richard Judd Miller | Psychiatry & Neurology | 3 Northwestern Dr, Bloomfield, CT 06002-3465 | 2007-01-16 |
| 1144327065 | Wilbur Joseph Nelson Jr. | Psychologist | 3 Northwestern Dr, Bloomfield, CT 06002-3465 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679138358 | Fayon Witche | Counselor | 27 West St Ste 7b, Bloomfield, NJ 07003-4938 | 2019-05-07 |
| 1790246650 | Jonathan Lee Cornell | Counselor | 262 Chaplin Rd, Bloomfield, KY 40008-7125 | 2019-03-25 |
| 1285117275 | Megan Wehman | Counselor | 700 Bloomfield Ave Unit 347, Bloomfield, CT 06002-4240 | 2018-09-14 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1073039715 | Susan L Shea | Counselor | 402 Barbara Street, Bloomfield, MO 63825 | 2017-08-15 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1710420070 | Emily Parodi | Counselor | 2 Broad St Ste 300, Bloomfield, NJ 07003-2547 | 2016-11-18 |
| 1396294500 | Mario Castellanos | Counselor | 25 Donald St Apt D, Bloomfield, NJ 07003-6182 | 2016-09-28 |
| 1063870384 | Adisa Alghali | Counselor | 1018 Broad St Ste 6, Bloomfield, NJ 07003-2884 | 2016-02-01 |
| 1396165635 | Connecticut Counseling Services | Counselor | 8 Bear Ridge Dr, Bloomfield, CT 06002-1108 | 2014-04-25 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
Please comment or provide details below to improve the information on PATRICE ANTHIA MOULTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.