FREDERICK STREETS (NPI# 1003459389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003459389 |
Entity Type | Individual |
Full Name | FREDERICK STREETS |
Practice Address |
602 Nichols Ave Stratford CT 06614-3925 |
Practice Telephone | 2032962430 |
Mailing Telephone | 2032962430 |
Enumeration Date | 2019-10-19 |
Last Update Date | 2019-10-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP1600X |
Counselor Specialization: Pastoral |
002270 | CT | Behavioral Health & Social Service Providers |
Street Address |
602 NICHOLS AVE |
City | STRATFORD |
State | CT |
Zip Code | 06614-3925 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
Find all providers in zip 06614 |
Taxonomy Code | 101YP1600X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Pastoral |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417599846 | David Frazer | Counselor | 12 Cider Mill Rd, Preston, CT 06365-8501 | 2019-10-17 |
1316455876 | Hillary Rea Bercovici | Counselor | 8 Sound Shore Dr Ste 130, Greenwich, CT 06830 | 2018-01-18 |
1730692781 | Wendy A Mauro | Counselor | 869 Whalley Ave, New Haven, CT 06515-1728 | 2017-11-13 |
1881052413 | Marva Greenfield | Counselor | 370 Cornwall St, Hartford, CT 06112-1109 | 2016-02-10 |
1316356553 | Robin C Taylor | Counselor | 464 Tolland St, East Hartford, CT 06108-2559 | 2014-08-12 |
1811262116 | Matthew Ferreira | Counselor | 199 Britannia St, Meriden, CT 06450-2229 | 2012-03-20 |
1821328188 | Barbara J. Greten | Counselor | 85 Butternut Dr, Meriden, CT 06450-3509 | 2010-01-10 |
1407020688 | Ellendale Mccollam Hoffman | Counselor | 8 Sharon Ln, Old Saybrook, CT 06475-2037 | 2008-04-17 |
1669539953 | Kathleen Blake Thompson | Counselor | 294 Coe Ave, East Haven, CT 06512-4106 | 2007-01-03 |
1336213776 | Robert S. Henderson | Counselor | 16 High St., South Glastonbury, CT 06073 | 2006-11-18 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on FREDERICK STREETS.
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.