MANA PSYCHOLOGICAL SERVICES LLC (NPI# 1033759196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033759196 |
| Entity Type | Organization |
| Organization Name | MANA PSYCHOLOGICAL SERVICES LLC |
| Practice Address |
10 N Main St Ste 305 West Hartford CT 06107-1901 |
| Practice Telephone | 2032407075 |
| Mailing Telephone | 2032407075 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | MRS. SAMANTHA ANNE BOUTIN (OWNER AND LPC) |
| Authorized Official Telephone | 2032407075 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
10 N MAIN ST STE 305 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336235142 | Debra S. Bailey | Psychologist | 10 N Main St Ste 305, West Hartford, CT 06107-1901 | 2006-10-05 |
| 1538789680 | Assessment and Intervention Resource Group, LLC | Social Worker | 10 N Main St Ste 305, West Hartford, CT 06107-1901 | 2020-04-19 |
| 1568007367 | Samantha Anne Boutin | Counselor | 10 N Main St Ste 305, West Hartford, CT 06107-1901 | 2019-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021228 | Clear Sky Therapy Services | Clinic/Center | 68 Lyman Rd, West Hartford, CT 06117-1311 | 2020-07-23 |
| 1114497971 | Morea Psychological Services | Clinic/Center | 15 N Main St Ste 100, West Hartford, CT 06107-1957 | 2018-12-04 |
| 1891740221 | Jewish Family Services of Greater Hartford | Clinic/Center | 333 Bloomfield Ave, Suite A, West Hartford, CT 06117-1544 | 2006-05-24 |
| 1760963755 | A Brighter Path, LLC | Clinic/Center | 41 S Main St Ste 2, West Hartford, CT 06107-2448 | 2018-08-27 |
| 1033610241 | Elizabeth Alve-hedegaard Aprn LLC | Clinic/Center | 10 N Main St Ste 204, West Hartford, CT 06107-1941 | 2018-02-22 |
| 1063802684 | Strength and Balance, LLC | Clinic/Center | 45 S Main St, Suite 107, West Hartford, CT 06107-2441 | 2015-02-03 |
| 1235561010 | The Bridge Family Center | Clinic/Center | 1038 Farmington Ave, West Hartford, CT 06107-2109 | 2013-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867823 | Marianne Cardillo LLC | Clinic/Center | 72 Cedar Heights Rd, Stamford, CT 06905-1105 | 2020-10-08 |
| 1770180770 | Thriving Minds Connecticut, LLC | Clinic/Center | 39 Leonard Rd, Middlebury, CT 06762-3602 | 2020-10-03 |
| 1093326464 | Hope Haven, LLC | Clinic/Center | 543 Kanuga Trl, Orange, CT 06477-2659 | 2020-08-11 |
| 1760093108 | Intuitive Healing Counseling LLC | Clinic/Center | 95 Armory Rd Ste 2, Stratford, CT 06614-1753 | 2020-08-10 |
| 1750992244 | Connecting The Pieces, LLC | Clinic/Center | 151 New Park Ave Unit 27, Hartford, CT 06106-2181 | 2020-08-10 |
| 1104453562 | Empower Therapy & Wellness LLC | Clinic/Center | 786 Boston Post Rd # 203, Madison, CT 06443-3036 | 2020-03-25 |
| 1386279453 | Pathways To Wellness, LLC | Clinic/Center | 74 Sheldon Ter, New Haven, CT 06511-2006 | 2020-03-09 |
| 1053945196 | Farley Counseling Services | Clinic/Center | 29b Hartford Ave, Granby, CT 06035-2326 | 2020-02-27 |
| 1922630557 | Starfish Family Connections, LLC | Clinic/Center | 1367 Hanover Ave Apt 602, Meriden, CT 06451-6278 | 2020-02-11 |
| 1982249710 | Lotus Psychotherapy, Training and Consulting | Clinic/Center | 63 E Gate Ln, Hamden, CT 06514-2231 | 2019-11-15 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
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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.