DR. THELISSA ANNETTE HARRIS (NPI# 1093933681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093933681 |
| Entity Type | Individual |
| Full Name | DR. THELISSA ANNETTE HARRIS |
| Credential | M.D. |
| Practice Address |
200 Seabury Dr Bloomfield CT 06002-2650 |
| Mailing Address |
13 Bear Ridge Dr Bloomfield CT 06002-1107 |
| Practice Telephone | 8602362320 |
| Practice Fax Number | 8602062320 |
| Mailing Telephone | 8602430140 |
| Mailing Fax Number | 8602062320 |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2018-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
020501 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM | 010020501CT02 | 01 |
| Street Address |
200 SEABURY DR |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-2650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689632788 | Church Home of Hartford, Inc. | Home Health | 200 Seabury Dr, Bloomfield, CT 06002-2650 | 2006-05-01 |
| 1730792821 | Linda Mackay-morgan | Speech-Language Pathologist | 200 Seabury Dr, Bloomfield, CT 06002-2650 | 2020-08-28 |
| 1710549498 | Christiana Mccall | Occupational Therapy Assistant | 200 Seabury Dr, Bloomfield, CT 06002-2650 | 2019-07-02 |
| 1013472091 | Kaitlin Hill | Occupational Therapist | 200 Seabury Dr, Bloomfield, CT 06002-2650 | 2019-02-05 |
| 1639686041 | Tara Marie Konieczny | Occupational Therapy Assistant | 200 Seabury Dr, Bloomfield, CT 06002-2650 | 2018-01-08 |
| 1629518048 | Debbie-ann Devito | Physical Therapist | 200 Seabury Dr, Bloomfield, CT 06002-2650 | 2017-03-04 |
| 1437699253 | Justine Amelia Davis | Physical Therapist | 200 Seabury Dr, Bloomfield, CT 06002-2650 | 2017-02-27 |
| 1346789476 | Bethany Pisati | Occupational Therapist | 200 Seabury Dr, Bloomfield, CT 06002-2650 | 2017-02-22 |
| 1730628991 | Katherine Genevieve Zmuda | Occupational Therapist | 200 Seabury Dr, Bloomfield, CT 06002-2650 | 2017-02-20 |
| 1639618184 | Carolyn Gionfriddo | Physical Therapist | 200 Seabury Dr, Bloomfield, CT 06002-2650 | 2017-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952633794 | Duyen Ngoc Nguyen | Psychiatry & Neurology | 64 Newark Ave, Bloomfield, NJ 07003-6044 | 2010-02-04 |
| 1275177404 | Jessica Listorti | Psychiatry & Neurology | 693 Bloomfield Ave Ste 101, Bloomfield, CT 06002-2489 | 2019-10-31 |
| 1043719776 | Bruce Rothschild, M.d., Pllc | Psychiatry & Neurology | 34 Jerome Ave, Bloomfield, CT 06002-2463 | 2018-02-08 |
| 1104192921 | Md Care Psychiatric Services LLC | Psychiatry & Neurology | 701 Cottage Grove Rd, Suite B230, Bloomfield, CT 06002-3079 | 2012-03-26 |
| 1669485819 | Ranjani Kurukulasuriya | Psychiatry & Neurology | 693 Bloomfield Ave, Bloomfield, CT 06002-2489 | 2006-08-15 |
| 1487684742 | Ayesha Ahmed | Psychiatry & Neurology | 701 Cottage Grove Rd, Suite B230, Bloomfield, CT 06002-3080 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859709 | Andre Burey Md Pllc | Psychiatry & Neurology | 1051 Post Rd Ste 1, Darien, CT 06820-5436 | 2020-07-30 |
| 1245848670 | Behavioral Wellness Partners | Psychiatry & Neurology | 167 Cherry St #101, Milford, CT 06460-3466 | 2020-07-22 |
| 1659905313 | Restart Health and Wellness LLC | Psychiatry & Neurology | 1336 W Main St Ste 2a, Waterbury, CT 06708-3122 | 2020-03-02 |
| 1407410921 | Dr. Katrina Furey, Md, LLC | Psychiatry & Neurology | 147 Durham Rd Ste 12ane, Madison, CT 06443-2675 | 2019-04-30 |
| 1063996221 | Alexia Bajwa Cortella | Psychiatry & Neurology | 5 Wedgewood Ct, Newtown, CT 06470-1792 | 2018-09-23 |
| 1427536101 | Mar Y Sol Mental Health Experts LLC | Psychiatry & Neurology | 50 Federal Rd Ste 1a, Danbury, CT 06810-6129 | 2018-08-03 |
| 1619470655 | Becky Kreuzer Aprn, Pmhnp, LLC | Psychiatry & Neurology | 22 Pine St Ste 205, Bristol, CT 06010-6949 | 2018-03-15 |
| 1982104063 | Carl Chi | Psychiatry & Neurology | 22 Goodrich Ln, Portland, CT 06480-1063 | 2018-02-15 |
| 1659808699 | Psy-visions of Connecticut, LLC | Psychiatry & Neurology | 88 Main St S Ste B201, Southbury, CT 06488-2276 | 2017-05-22 |
| 1639605082 | Neil Michael Kurtz | Psychiatry & Neurology | 165 Old Redding Road, Weston, CT 06883 | 2017-05-04 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
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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.