MARK AUSTIN (NPI# 1053690784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053690784 |
| Entity Type | Individual |
| Full Name | MARK AUSTIN |
| Credential | MS, NCC, LPC |
| Practice Address |
374 Grand Ave New Haven CT 06513-3733 |
| Practice Telephone | 2037777411 |
| Practice Fax Number | 2037778506 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
001831 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356840953 | Mark Austin | Social Worker | 155 Cougar Dr, Manchester, CT 06040-6380 | 2018-02-08 |
| 1225475395 | Mark Austin | Dentist | 2100 Se 164th Ave., Suite D102, Vancouver, WA 98683 | 2013-05-30 |
| 1457427924 | Mark Christopher Austin | Dentist | 2001 S. Baxter Drive, Leland, NC 28451-9999 | 2006-11-28 |
| 1780754127 | Mark Austin | Preventive Medicine | 500 Lincoln Dr Ste D, Herrin, IL 62948-6355 | 2006-11-09 |
| 1467447268 | Mark B Austin | Pathology | 6810 Reliable Pkwy, Chicago, IL 60686-0001 | 2005-09-19 |
| 1538699152 | Mark Austin | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Ann Arbor, MI 48109-5048 | 2017-06-15 |
| 1487697959 | Mark C Austin | Ophthalmology | 1301 E Northland Ave, Ste A, Appleton, WI 54911-8426 | 2006-06-13 |
| 1013987908 | Mark Wayne Austin | Obstetrics & Gynecology | 10510 Jefferson Ave, Suite D, Newport News, VA 23601-3102 | 2006-01-24 |
| 1225017098 | Mark John Austin | Radiology | 1025 Marsh St, Mankato, MN 56001-4752 | 2006-01-11 |
| Street Address |
374 GRAND AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06513-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770582884 | Mary D Moller | Clinical Nurse Specialist | 374 Grand Ave, New Haven, CT 06513-3733 | 2005-07-20 |
| 1528669181 | Marisol Orth | Nurse Practitioner | 374 Grand Ave, New Haven, CT 06513-3733 | 2020-11-02 |
| 1851999874 | Ornella S Merino | Marriage & Family Therapist | 374 Grand Ave, New Haven, CT 06513-3733 | 2020-10-12 |
| 1043855521 | Joel Daniel Newman Bluman | Family Medicine | 374 Grand Ave, New Haven, CT 06513-3733 | 2019-11-08 |
| 1790215093 | Brian Padilla | Psychologist | 374 Grand Ave, New Haven, CT 06513-3733 | 2017-06-19 |
| 1346792355 | Quest Diagnostics LLC | Clinical Medical Laboratory | 374 Grand Ave, First Floor, New Haven, CT 06511 | 2016-10-26 |
| 1083078695 | Kyle Elligers | Family Medicine | 374 Grand Ave, New Haven, CT 06513-3733 | 2016-04-09 |
| 1073970224 | Kelly Elizabeth Gaffney | Dietitian, Registered | 374 Grand Ave, New Haven, CT 06513-3733 | 2016-01-19 |
| 1811353634 | Lori Goeschel | Dietitian, Registered | 374 Grand Ave, New Haven, CT 06513-3733 | 2016-01-08 |
| 1720468317 | Sandra Gisela Williams | Student in an Organized Health Care Education/Training Program | 374 Grand Ave, Fair Haven Clinic, New Haven, CT 06513-3733 | 2015-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366906141 | Edward Rivera | Case Manager/Care Coordinator | 458 Grand Ave., Suite 103, New Haven, CT 06513 | 2019-01-25 |
| 1134698442 | Village of Angels Home Health Care LLC | Respite Care | 470 James Street, Suite 007, New Haven, CT 06513 | 2018-11-15 |
| 1609358068 | Sarah Khalil | Pharmacist | 745 Foxon Road, East Haven, CT 06513 | 2018-09-02 |
| 1912358375 | Domanice Poindexter | Nurse Practitioner | Caremore Health, 444 Foxon Rd, East Haven, CT 06513 | 2016-06-28 |
| 1568839876 | My Fair Haven Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Grand Ave, New Haven, CT 06513 | 2015-08-24 |
| 1871979567 | Sankofa Counseling LLC | Community/Behavioral Health | 64 Thompson St Ste A101, East Haven, CT 06513 | 2015-08-04 |
| 1578967287 | Curtis Stewart | Pharmacy Technician | 661 Thompson Street, East Haven, CT 06513 | 2014-10-09 |
| 1548686322 | Davis Group LLC | Social Worker | 30 Grand Ave, New Haven, CT 06513 | 2014-03-17 |
| 1124459615 | James Lucas IIi | Dietitian, Registered | 167 Old Foxon Road, Unit 30b, New Haven, CT 06513 | 2013-12-09 |
| 1609206135 | Spretha Kadavath | Dentist | 50 Grand Ave, New Haven, CT 06513 | 2013-11-19 |
| Find all providers in zip 06513 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740935 | Art Therapy Explorations LLC | Counselor | 23 Temple St, New Haven, CT 06510-2714 | 2020-11-02 |
| 1376174367 | Nicole Anderson | Counselor | 189 Orange St Ste 380, New Haven, CT 06510-2014 | 2020-01-29 |
| 1932763935 | Deborah K Rosen | Counselor | 357 Whitney Ave Ste 201, New Haven, CT 06511-2364 | 2019-04-24 |
| 1669934337 | Bondage Breakers Counseling, LLC | Counselor | 79 Trumbull St Unit C9, New Haven, CT 06511-3708 | 2019-04-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1649736067 | Martina M Kardol | Counselor | 926 Chapel St, New Haven, CT 06510-2515 | 2019-02-11 |
| 1578016846 | Rigoberto Morales Rios | Counselor | 50 Fitch St Fl 2, New Haven, CT 06515-1366 | 2016-08-03 |
| 1619345980 | Rachel Doody | Counselor | 98-100 Park St, New Haven, CT 06511-5402 | 2015-09-03 |
| 1871909945 | Marissa R Gagliardo | Counselor | 232 Cedar Street, South Central Rehabilitation Center, New Haven, CT 06519-1610 | 2014-07-09 |
| 1447680079 | Francesca Maria Ferrentelli | Counselor | 4829 Highway Kk, New Haven, MO 63068-2157 | 2013-11-18 |
| 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.