CONNECTICUT BEHAVIORAL HEALTH ASSOC P.C. (NPI# 1033320676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033320676 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT BEHAVIORAL HEALTH ASSOC P.C. |
| Practice Address |
41 Fair Harbour Pl New London CT 06320-4710 |
| Practice Telephone | 8604376914 |
| Practice Fax Number | 8604376920 |
| Mailing Telephone | 8604376914 |
| Mailing Fax Number | 8604376920 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT FOX (CEO) |
| Authorized Official Telephone | 8604376914 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ST OF CONN GRP #'S(APRN) | 0014192324 | 01 |
| Street Address |
41 FAIR HARBOUR PL |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225125610 | Ammar S Traboulsi | Psychiatry & Neurology | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2006-10-06 |
| 1073961173 | Thomas Kenneth Richard Jr. | Marriage & Family Therapist | 41 Fair Harbour Pl, 8604376914, New London, CT 06320-4710 | 2016-05-31 |
| 1568772465 | Quest Diagnostics LLC | Clinical Medical Laboratory | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2010-10-14 |
| 1851628366 | Connecticut Behavioral Health Assoc | Counselor | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2009-11-05 |
| 1710119557 | Jennifer Belfiglio | Social Worker | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2009-08-12 |
| 1972791176 | Stephen Haley | Social Worker | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2007-10-12 |
| 1982899803 | Julia Chase Brand | Psychiatry & Neurology | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2007-09-13 |
| 1285845826 | Connecticut Behavioral Health Assoc. P.C. | Marriage & Family Therapist | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2007-05-25 |
| 1023229663 | Connecticut Behavioral Health Assoc. P.C. | Psychologist | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2007-05-25 |
| 1669683207 | Connecticut Behavioral Health Assoc. P.c | Psychiatry & Neurology | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447935 | Joan Telemaque | Nurse Practitioner | 16 Robinson St, New London, CT 06320-5425 | 2018-11-29 |
| 1205918562 | Diane Wright | Nurse Practitioner | 932 Bank St, New London, CT 06320 | 2006-10-19 |
| 1295387843 | Sara Diane Lambert | Nurse Practitioner | 75 Granite St, New London, CT 06320-5730 | 2019-07-14 |
| 1770074957 | Ashley O'brien | Nurse Practitioner | 365 Montauk Ave, New London, CT 06320-4700 | 2018-05-23 |
| 1356841415 | Madena Lynn Lewis | Nurse Practitioner | 21 Montauk Ave, New London, CT 06320 | 2018-02-15 |
| 1821464017 | Ellen Louise Sollazzo | Nurse Practitioner | 21 Montauk Ave, New London, CT 06320-4906 | 2015-08-11 |
| 1043634199 | Heather Bowen | Nurse Practitioner | 365 Montauk Ave, Lawrence and Memorial Hospital, New London, TN 06320 | 2014-02-10 |
| 1710232947 | Audrey A Allen | Nurse Practitioner | 365 Montauk Ave, New London, CT 06320-4700 | 2012-07-13 |
| 1184980211 | Marci A. Mcnicol | Nurse Practitioner | 21 Montauk Ave, New London, CT 06320 | 2012-04-03 |
| 1962787424 | Barbara Dinoia | Nurse Practitioner | 400 Bayonet St, New London, CT 06320-2600 | 2011-10-17 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
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| 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.