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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
Street Address |
469 BUCKLAND RD STE 104 |
City | SOUTH WINDSOR |
State | CT |
Zip Code | 06074-3737 |
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 |
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 |
Find all providers in zip 06074 |
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 |
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 |
Find all providers with the same taxonomy |
City | SOUTH WINDSOR |
Zip Code | 06074 |
Please comment or provide details below to improve the information on DR. JESS EDELSTEIN.
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.