MS. ETHEL BETHEA (NPI# 1033402045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033402045 |
| Entity Type | Individual |
| Full Name | MS. ETHEL BETHEA |
| Credential | LADC |
| Practice Address |
121 Rosette St New Haven CT 06519-2427 |
| Practice Telephone | 2032147584 |
| Mailing Telephone | 2032147584 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000836 | CT | Behavioral Health & Social Service Providers |
| Street Address |
121 ROSETTE ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700417441 | Prosperity Counseling, LLC | Counselor | 1580 Chapel St, New Haven, CT 06511-4205 | 2020-01-31 |
| 1861050320 | Jewell Cody | Counselor | 171 Lexington Ave, New Haven, CT 06513-4425 | 2019-05-30 |
| 1255820486 | Myra J Best | Counselor | 137 Scranton St Fl 2, New Haven, CT 06511-5339 | 2018-05-03 |
| 1699156356 | Erica Reshard | Counselor | 79 Long Hill Ter, New Haven, CT 06515 | 2015-06-17 |
| 1548695703 | Rena M Owens | Counselor | 1823 Ella Grasso Blvd, New Haven, CT 06511-1603 | 2013-09-06 |
| 1396081980 | Leida Acevedo | Counselor | 570 Elm St, New Haven, CT 06511-4137 | 2012-12-31 |
| 1467708289 | Julia Anne Redman | Counselor | 68 Bradley St, New Haven, CT 06511 | 2012-07-30 |
| 1235456203 | Happy Family Clinical Services LLC | Counselor | 530 State Street, New Haven, CT 06511 | 2010-04-29 |
| 1841512100 | Barbara C Moore | Counselor | 1294 Chapel Street, New Haven, CT 06511 | 2010-02-26 |
| 1013246677 | Pedro Delgado | Counselor | 317 Lexington Ave, 2nd Floor, New Haven, CT 06513-4047 | 2009-12-10 |
| Find all providers in NEW HAVEN | ||||
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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.