MR. BENNETT EDWARD MOEHL (NPI# 1063674893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063674893 |
| Entity Type | Individual |
| Full Name | MR. BENNETT EDWARD MOEHL |
| Credential | PSYD |
| Practice Address |
91 Northwest Dr Plainville CT 06062-1534 |
| Mailing Address |
371 Brewster Rd Bristol CT 06010 |
| Practice Telephone | 8607933500 |
| Mailing Telephone | 8609067006 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
003453 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Hatchetts Hill Rd, Old Lyme, CT 063711534 | 8003703651 | 8775157147 |
| Street Address |
91 NORTHWEST DR |
| City | PLAINVILLE |
| State | CT |
| Zip Code | 06062-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609972918 | Daniel Leo Flaherty | Social Worker | 91 Northwest Dr, Wheeler Clinic, Plainville, CT 06062 | 2006-09-15 |
| 1871108076 | Wheeler Clinic Inc | Clinic/Center | 91 Northwest Dr, Plainville, CT 06062-1534 | 2020-09-14 |
| 1801409834 | Amanda Lynn Toni | Social Worker | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-08-28 |
| 1568075034 | Allison Crockett | Nurse's Aide | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-08-25 |
| 1144831058 | Kelly Wakeland | Social Worker | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-08-13 |
| 1457960254 | Tina Loarte-rodriguez | Registered Nurse | 91 Northwest Dr, Plainville, CT 06062-1534 | 2020-07-28 |
| 1427676782 | Brittney L Richleigh | Marriage & Family Therapist | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-07-13 |
| 1649894346 | Heather Agid | Social Worker | 91 Northwest Dr, Plainville, CT 06062-1534 | 2020-05-29 |
| 1962025692 | Mary-ann Alisha Staggers | Counselor | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-05-28 |
| 1326660523 | Jennifer Gulick | Student in an Organized Health Care Education/Training Program | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154967263 | Zachary Mcpherson | Pharmacist | 5 Farmington Avenue, Plainville, CT 06062 | 2019-11-24 |
| 1851891634 | Nora Ainsworth | Dietitian, Registered | 28 North St Apt 4, Plainville, CT 06062 | 2018-02-18 |
| 1104348192 | The Center for Emotional Healing, LLC | Community/Behavioral Health | 307 East Street, Unit 1, Plainville, CT 06062 | 2017-07-11 |
| 1013441385 | Plainville Community Pharmacy LLC | Pharmacy | 170 East Street, Plainville, CT 06062 | 2017-04-13 |
| 1730551821 | Christelle Locke-johnson | Counselor | 91 Wheeler Clinic, 91 Northwest Drive, Plainville, CT 06062 | 2015-10-28 |
| 1982080560 | Jamie Erickson | Student in an Organized Health Care Education/Training Program | 91 Northwood Drive, Plainville, CT 06062 | 2015-08-05 |
| 1487049243 | Kelly E Lamb | Counselor | 78 East Street, Plainville, CT 06062 | 2015-03-30 |
| 1538550546 | Mandell & Blau Md's PC | Radiology | 201 North Mountain Road, Plainville, CT 06062 | 2015-02-12 |
| 1285067603 | Bethany Anne Carr | Nurse Practitioner | 201 North Mountain Rd, Plainville, CT 06062 | 2013-08-21 |
| 1306288618 | Halima L Butler | Social Worker | 58 West Main St, Plainville, CT 06062 | 2013-07-28 |
| Find all providers in zip 06062 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697889 | Lynn Kratzer | Psychologist | 91 Northwest Dr, Plainville, CT 06062-1534 | 2019-09-08 |
| 1922555937 | Erin Hopkins | Psychologist | 91 Northwest Dr, Plainville, CT 06062-1534 | 2016-09-07 |
| 1649465170 | Kate Alexandra Deer | Psychologist | 91 Northwest Dr, Plainville, CT 06062 | 2007-09-07 |
| 1497893127 | Michael Russo I | Psychologist | 91 Northwest Dr, Plainville, CT 06062-1534 | 2007-02-02 |
| 1508912205 | Kenneth P. Bangs | Psychologist | 91 Northwest Dr, Wheeler Clinic, Plainville, CT 06062-1534 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079547 | Sarah Phillips | Psychologist | 1 Long Wharf Dr Ste G7, New Haven, CT 06511-5991 | 2020-10-05 |
| 1225649080 | Joyce Nathan | Psychologist | 175 Riversville Rd, Greenwich, CT 06831-3629 | 2020-08-13 |
| 1831700103 | Rebecca G Boswell | Psychologist | 22 Gold St Apt 106, New Haven, CT 06519-1641 | 2020-08-11 |
| 1366065963 | Leah Elizabeth Morgan | Psychologist | 56 Arbor St Ste 100-a, Hartford, CT 06106-1222 | 2020-05-19 |
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1629698238 | David A Stayner | Psychologist | 39 Pleasant Dr, Cheshire, CT 06410-2241 | 2020-04-23 |
| 1730726324 | Samantha R Morris | Psychologist | 377 Mansfield Road, Unit 1255, Storrs, CT 06269-1255 | 2019-12-03 |
| 1255974242 | Adriana Deamicis | Psychologist | 129 Church St Ste 704, New Haven, CT 06510-2043 | 2019-10-22 |
| 1225686249 | Morris Brett Denkin | Psychologist | 51 Locust Ave Ste 302a, New Canaan, CT 06840-4739 | 2019-09-03 |
| 1407404684 | Siobhan O'leary Evarts | Psychologist | 1275 Post Rd Ste A18, Fairfield, CT 06824-6060 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
| City | PLAINVILLE |
| Zip Code | 06062 |
Please comment or provide details below to improve the information on MR. BENNETT EDWARD MOEHL.
| 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.