JACKELIN SERRATY (NPI# 1003374083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003374083 |
| Entity Type | Individual |
| Full Name | JACKELIN SERRATY |
| Practice Address |
7 Dean St Unit 204 Danbury CT 06810-5760 |
| Practice Telephone | 3474899286 |
| Mailing Telephone | 3474899286 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
7 DEAN ST UNIT 204 |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-5760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780241885 | Tatiana Diaz-wayne | Psychologist | 30 Sleepy Hollow Dr, Danbury, CT 06810-5360 | 2019-05-23 |
| 1124524293 | Andrea Samperi | Psychologist | 5 Paulding Ter, Danbury, CT 06810-5134 | 2018-04-05 |
| 1154622827 | Stuart Zavin | Psychologist | 97-99 Park Ave, 30, Danbury, CT 06810-7604 | 2010-11-10 |
| 1972149524 | Vanessa Garcia | Psychologist | 32 Washington Ave, Danbury, CT 06810-7927 | 2019-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952860231 | Joseph Ambrose | Psychologist | 324 French St, Watertown, CT 06795-2929 | 2019-03-18 |
| 1437655362 | Megan Moyer | Psychologist | 34-3 Shunpike Rd # 196, Cromwell, CT 06416-2490 | 2018-03-31 |
| 1750807210 | Rachel Teresa Lehr | Psychologist | 3 Sky Edge Ln, Bethel, CT 06801-1013 | 2017-08-16 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1790038206 | Keara Conway | Psychologist | 44 Commerce Rd, Stamford, CT 06902-4561 | 2012-10-22 |
| 1649522921 | Linked-up Academy, LLC | Psychologist | 85 Camp Ave, Unit 11d, Stamford, CT 06907-1830 | 2012-10-10 |
| 1265787097 | Linked-up Academy | Psychologist | 85 Camp Ave Apt 11d, Stamford, CT 06907-1840 | 2012-07-18 |
| 1124381850 | Kathryn Min | Psychologist | 391 Riverside Ave, Westport, CT 06880-4811 | 2012-06-18 |
| 1013295005 | Jess Edelstein | Psychologist | 469 Buckland Rd Ste 104, South Windsor, CT 06074-3737 | 2011-07-26 |
| 1942596671 | Maricel Garcia Mcmahon | Psychologist | 15 Tiffany Dr, Windsor, CT 06095-2471 | 2011-06-21 |
| Find all providers with the same taxonomy | ||||
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| 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.