DR. DIANA BADILLO MARTINEZ (NPI# 1073588505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073588505 |
| Entity Type | Individual |
| Full Name | DR. DIANA BADILLO MARTINEZ |
| Credential | PH.D. |
| Practice Address |
60 Old New Milford Rd Suite 3d Brookfield CT 06804-2430 |
| Practice Telephone | 2037755183 |
| Practice Fax Number | 2037758453 |
| Mailing Telephone | 2037755183 |
| Mailing Fax Number | 2037758453 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2007-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1212 | CT | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 1212 | CT | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
1212 | CT | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
1212 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004069084 | 05 |
| Street Address |
60 OLD NEW MILFORD RD SUITE 3D |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374734 | Daniel Nelson Fish | Orthopaedic Surgery | 60 Old New Milford Rd, Ste 3e, Brookfield, CT 06804-2430 | 2005-05-23 |
| 1700173168 | Brookfield Medical/surgical Supplies Inc. | Pharmacy | 60 Old New Milford Rd, Suite 2b, Brookfield, CT 06804-2430 | 2011-07-06 |
| 1457646796 | Brookfield Medical/surgical Supplies, Inc. | Pharmacy | 60 Old New Milford Rd, Suite 1b, Brookfield, CT 06804-2430 | 2011-06-15 |
| 1104148675 | Robert John Daher | Orthopaedic Surgery | 60 Old New Milford Rd, Suite 3e, Brookfield, CT 06804-2430 | 2010-02-24 |
| 1437481587 | Thomas John Condon | Psychologist | 60 Old New Milford Rd, Suite 3-a, Brookfield, CT 06804-2430 | 2010-01-31 |
| 1437482775 | Ileana Velazquez | Social Worker | 60 Old New Milford Rd, Suite 3d, Brookfield, CT 06804-2430 | 2009-09-17 |
| 1598933442 | Paul Fitzgerald | Dentist | 60 Old New Milford Rd, Brookfield, CT 06804-2430 | 2008-02-13 |
| 1851444574 | John A Healy | Psychologist | 60 Old New Milford Rd, Brookfield, CT 06804-2430 | 2007-01-18 |
| 1437206042 | Thomas S Kocienda | Psychologist | 60 Old New Milford Rd, Suite 3d, Brookfield, CT 06804-2430 | 2007-01-04 |
| 1841389392 | Jenny Tekla Federman | Dentist | 60 Old New Milford Rd, Ste 1d, Brookfield, CT 06804-2430 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366620 | Tara Hanlon | Nurse Practitioner | 14 Shamrock Drive, Brookfield, CT 06804 | 2017-06-27 |
| 1558804617 | Total Assurance Home Healthcare | Respite Care | 6 Oak Branch Dr, Brookfield, CT 06804 | 2016-11-22 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1285048330 | Altagracia Trinidad | Counselor | 40 Laurel Hill Rd Unit 308, Brookfield, CT 06804 | 2014-06-17 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1801140371 | Christina M Muggeo | Physical Therapist | 60 Old New Milford Rd Ste 3a, Brookfield, CT 06804 | 2012-11-05 |
| 1952549099 | Joan P Draper | Ophthalmology | 17 Cove Rd, Brookfield, CT 06804 | 2009-01-28 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1740488212 | Nicholas Rutigliano | Physical Therapist | 3 Federal Rd Ste 100, Brookfield, CT 06804 | 2007-07-06 |
| 1851431373 | Arnold Stuart Zentner | Psychiatry & Neurology | 4 Twin Rocks Road, Brookfield, CT 06804 | 2007-02-07 |
| Find all providers in zip 06804 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144561051 | Western Connecticut Behavioral Health | Clinical Neuropsychologist | 828 Federal Rd, 2nd Floor, Brookfield, CT 06804-1830 | 2013-03-04 |
| 1053953984 | Neuropsychological Services of Southeastern Wisconsin, Ltd | Clinical Neuropsychologist | 200 S Executive Dr, Brookfield, WI 53005-4216 | 2019-10-11 |
| 1902456569 | Neuropsychological Services of Southeastern Wisconsin,ltd | Clinical Neuropsychologist | 200 S Executive Dr Ste 101, Brookfield, WI 53005-4216 | 2019-09-16 |
| 1184873721 | Jessica Danielle Biren Caverly | Clinical Neuropsychologist | 2 Old New Milford Rd, 1e, Brookfield, CT 06804-2426 | 2008-09-18 |
| 1114098704 | Pamela J Mcmurray | Clinical Neuropsychologist | 200 S Executive Dr Ste 101, Brookfield, WI 53005 | 2006-11-13 |
| 1922180736 | Robert Bronson Levin | Clinical Neuropsychologist | 16535 W Bluemound Rd, # 200, Brookfield, WI 53005-5936 | 2006-10-20 |
| 1679524250 | Katherine Rogers Burrows | Clinical Neuropsychologist | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761224 | Shumita Roy | Clinical Neuropsychologist | 18 N Main St Fl 2, West Hartford, CT 06107-1970 | 2018-02-27 |
| 1992216790 | Brisman Associates In Neuropsychology, Pllc | Clinical Neuropsychologist | 433 S Main St Ste 225, West Hartford, CT 06110-2812 | 2017-10-19 |
| 1083157556 | Eva Troyb | Clinical Neuropsychologist | 26 Hawks Lndg, Amston, CT 06231-1659 | 2016-11-30 |
| 1669824702 | Martin D Oliveira Psy D LLC | Clinical Neuropsychologist | 10 N Main St Ste 1, West Hartford, CT 06107-1968 | 2016-07-12 |
| 1497151245 | Connecticut Neuropsychological Associates, LLC | Clinical Neuropsychologist | 40 Connecticut Ave, Norwich, CT 06360-1502 | 2014-11-06 |
| 1750795647 | James W. Pier, Ph.d., LLC | Clinical Neuropsychologist | 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 | 2014-06-18 |
| 1922424175 | Psych Solutions LLC | Clinical Neuropsychologist | 2795 Albany Ave, West Hartford, CT 06117-1804 | 2014-03-12 |
| 1194157313 | Ginger Mills | Clinical Neuropsychologist | 623 Newfield Ave, Stamford, CT 06905-3302 | 2013-07-30 |
| 1043569288 | David Porrino | Clinical Neuropsychologist | 85 Old Kings Hwy N Fl 2, Darien, CT 06820-4732 | 2012-09-04 |
| 1285902387 | Lori Wagner | Clinical Neuropsychologist | 109 Danbury Road, Lower Level, Suite D6, Ridgefield, CT 06877 | 2011-12-05 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 06804 |
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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.