DR. SANDRA E. HARTDAGEN (NPI# 1013037860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013037860 |
| Entity Type | Individual |
| Full Name | DR. SANDRA E. HARTDAGEN |
| Credential | PH.D. |
| Practice Address |
148 Eastern Blvd Glastonbury CT 06033-4321 |
| Mailing Address |
282 Oak St South Windsor CT 06074-2342 |
| Practice Telephone | 8606523687 |
| Mailing Telephone | 8606489400 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
001580 | CT | Behavioral Health & Social Service Providers |
| Street Address |
148 EASTERN BLVD |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558324434 | Kurt Charles Bellhorn | Clinical Neuropsychologist | 148 Eastern Blvd, Suite 306, Glastonbury, CT 06033-4321 | 2006-04-10 |
| 1174975197 | Evan Led Bishop | Pharmacist | 148 Eastern Blvd, 4th Floor, Glastonbury, CT 06033-4321 | 2016-07-02 |
| 1437551892 | Walgreens Pharmacy | Pharmacy | 148 Eastern Blvd, Suite 4, Glastonbury, CT 06033-4321 | 2014-09-17 |
| 1447651013 | Clarissa Chan | Pharmacist | 148 Eastern Blvd, 400, Glastonbury, CT 06033-4321 | 2014-09-15 |
| 1003238072 | Ellen Coloccia, Psyd, LLC | Psychologist | 148 Eastern Blvd, Suite 302, Glastonbury, CT 06033-4321 | 2014-01-10 |
| 1295057297 | Suzanne Tamer | Pharmacist | 148 Eastern Blvd, Glastonbury, CT 06033-4321 | 2010-02-18 |
| 1497934574 | Douglas Chu Chung | Pharmacist | 148 Eastern Blvd, Glastonbury, CT 06033-4321 | 2007-10-25 |
| 1528189719 | Mary H. Cheyne | Psychologist | 148 Eastern Blvd, Suite 404, Glastonbury, CT 06033-4321 | 2007-04-03 |
| 1952451890 | Nori Gordon | Psychologist | 148 Eastern Blvd, Glastonbury, CT 06033-4321 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215496542 | New Horizon Counseling LLC | Psychologist | 148 Eastern Blvd Ste 306, Glastonbury, CT 06033-4321 | 2019-03-16 |
| 1205304805 | Michael J Reiss Psyd LLC | Psychologist | 200a Oak St, Glastonbury, CT 06033-2320 | 2018-11-13 |
| 1558750273 | Smith Eddie Kidkarndee | Psychologist | 2389 Main St Ste 202, Glastonbury, CT 06033-4617 | 2015-01-19 |
| 1043520372 | Alana Marie Embriano | Psychologist | 200c Oak Street, Glastonbury, CT 06033 | 2010-10-20 |
| 1447579982 | Kathie H. Moffitt | Psychologist | 300 Hebron Ave Ste 201, Glastonbury, CT 06033-2176 | 2010-05-24 |
| 1972701522 | Erica Lauren Janson | Psychologist | 931 Main Street Suite 2, Glastonbury, CT 06073 | 2007-07-05 |
| 1174735567 | Polyxeni Kyriakopoulos-cunningham | Psychologist | 33 Pratt St, Glastonbury, CT 06033-1014 | 2007-05-06 |
| 1629299946 | Gail P Comey | Psychologist | 11 Knob Hill Rd, Glastonbury, CT 06033-3708 | 2007-05-02 |
| 1073739652 | James William Loomis | Psychologist | 8 Twelve Acre Ln, Glastonbury, CT 06033-1215 | 2007-04-18 |
| 1871716548 | Elaine Linda Ducharme | Psychologist | 17 Parker Terrace Ext, Glastonbury, CT 06033-2012 | 2007-04-11 |
| Find all providers in GLASTONBURY | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
Please comment or provide details below to improve the information on DR. SANDRA E. HARTDAGEN.
| 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.