DR. JESS EDELSTEIN


Address: 469 Buckland Rd Ste 104, South Windsor, CT 06074-3737
Phone: 8606705207

DR. JESS EDELSTEIN (NPI# 1013295005) 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) 1013295005
Entity Type Individual
Full Name DR. JESS EDELSTEIN
Credential PHD
Practice Address 469 Buckland Rd Ste 104
South Windsor
CT 06074-3737
Practice Telephone 8606705207
Practice Fax Number 8604324540
Mailing Telephone 8606705207
Mailing Fax Number 8604324540
Enumeration Date 2011-07-26
Last Update Date 2019-06-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
Behavioral Health & Social Service Providers

Office Location

Street Address 469 BUCKLAND RD STE 104
City SOUTH WINDSOR
State CT
Zip Code 06074-3737

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790327492 Lynn Obomalayat, LLC Social Worker 469 Buckland Rd Ste 104, South Windsor, CT 06074-3737 2019-10-14
1821552084 Ta'shema Nicole Odoms Counselor 469 Buckland Rd Ste 104, South Windsor, CT 06074-3737 2019-01-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174144919 Russo Therapeutics, LLC Occupational Therapist 561 King Street, South Windsor, CT 06074 2020-05-04
1144706631 Chana Judith Hoagland Nurse Practitioner 276 Quarry Brook Drive, South Windsor, CT 06074 2018-07-17
1093203291 Climb Medical Group LLC Counselor 828 Sullivan Ave Ste A, South Windsor, CT 06074 2018-04-24
1528506516 William P Guinan, Md and Associates LLC Obstetrics & Gynecology 25 Oakland Road, South Windsor, CT 06074 2017-02-09
1487027678 Nadine Caron Nurse Practitioner 34 Pleasant Valley Rd, South Windsor, CT 06074 2015-11-10
1275957920 Ellen Carol Ronsivalli Dietitian, Registered 70 High Street, South Windsor, CT 06074 2014-02-14
1881036457 Chandra Yellinedi Pharmacist 55 Frazer Fir, South Windsor, CT 06074 2013-07-24
1144665969 Brian Thomas Moy Internal Medicine 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 2013-05-07
1093072886 Lydia Lormand Obstetrics & Gynecology 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 2012-04-18
1578847307 International Institute for Professional Development, LLC Social Worker 435 Buckland Hills Road, South Windsor, CT 06074 2011-09-28
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780241885 Tatiana Diaz-wayne Psychologist 30 Sleepy Hollow Dr, Danbury, CT 06810-5360 2019-05-23
1952860231 Joseph Ambrose Psychologist 324 French St, Watertown, CT 06795-2929 2019-03-18
1003374083 Jackelin Serraty Psychologist 7 Dean St Unit 204, Danbury, CT 06810-5760 2019-03-07
1124524293 Andrea Samperi Psychologist 5 Paulding Ter, Danbury, CT 06810-5134 2018-04-05
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
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Competitor

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City SOUTH WINDSOR
Zip Code 06074

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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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