FREDERICK STREETS


Address: 602 Nichols Ave, Stratford, CT 06614-3925
Phone: 2032962430

FREDERICK STREETS (NPI# 1003459389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP1600X Counselor
Specialization: Pastoral
002270 CT Behavioral Health & Social Service Providers

Office Location

Street Address 602 NICHOLS AVE
City STRATFORD
State CT
Zip Code 06614-3925

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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

Competitor

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City STRATFORD
Zip Code 06614

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Dataset Information

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.

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