PAINE CENTER FOR NEUROFEEDBACK LLC (NPI# 1104335694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104335694 |
| Entity Type | Organization |
| Organization Name | PAINE CENTER FOR NEUROFEEDBACK LLC |
| Practice Address |
140 Sherman St Fairfield CT 06824-5849 |
| Mailing Address |
31 Colonial Heights Rd North Haven CT 06473-4100 |
| Practice Telephone | 2038235109 |
| Mailing Telephone | 2038235109 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |
| Authorized Official Name | TARA PAINE (OWNER) |
| Authorized Official Telephone | 2038235109 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
007720 | CT | Behavioral Health & Social Service Providers |
| Street Address |
140 SHERMAN ST |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-5849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144278359 | Elizabeth V. Brennan | Physical Medicine & Rehabilitation | 140 Sherman St, 2nd Floor, Fairfield, CT 06824-5849 | 2006-05-04 |
| 1346670270 | Passport Health Holdings LLC | Clinic/Center | 140 Sherman St, 4th Floor, Fairfield, CT 06824-5849 | 2013-11-13 |
| 1891035077 | Charles Paul Lemieux IIi | Marriage & Family Therapist | 140 Sherman St, 5th Floor, Fairfield, CT 06824-5849 | 2013-02-25 |
| 1912242900 | Fairfield Women's Health Center, LLC | Obstetrics & Gynecology | 140 Sherman St, 5th Floor, Fairfield, CT 06824-5849 | 2012-12-03 |
| 1811244106 | Marie Ann Geelan | Counselor | 140 Sherman St, 5th Floor, Fairfield, CT 06824-5849 | 2012-08-06 |
| 1255686366 | Susan Scheufele | Counselor | 140 Sherman St, Fairfield, CT 06824-5849 | 2012-07-16 |
| 1265729842 | Fairfield Plastic Surgery, LLC | Surgery | 140 Sherman St, 3rd Floor, Fairfield, CT 06824-5849 | 2011-07-05 |
| 1124293196 | Keith L. Rudolph | Dentist | 140 Sherman St, Fairfield, CT 06824-5849 | 2008-04-29 |
| 1811108590 | Jeffrey Steven Rosenthal | Specialist | 140 Sherman St, Fairfield, CT 06824-5849 | 2007-05-24 |
| 1700997848 | Michael J. Brennan, M.d. LLC | Chiropractor | 140 Sherman St, 2nd Floor, Fairfield, CT 06824-5849 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757838 | Tree of Life Centers | Social Worker | 191 Catherine Ter, Fairfield, CT 06824-6463 | 2020-10-16 |
| 1386260040 | Phoebe Ward Gould Musico | Social Worker | 45 Pope St, Fairfield, CT 06825-4328 | 2020-06-18 |
| 1003445008 | Jennifer Mikell Lincoln | Social Worker | 1325 Crowley Ln Apt 6, Fairfield, CA 94533-6001 | 2020-04-02 |
| 1174166185 | Holly Mundon | Social Worker | 5 Darby Heath, Fairfield, OH 45014-5261 | 2019-10-22 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1730642935 | Susan Lipman Henry | Social Worker | 35 Nutmeg Ln, Fairfield, CT 06824-3909 | 2019-04-13 |
| 1689138133 | Sue Nadel | Social Worker | 60 Hitching Post Ln, Fairfield, CT 06824-3133 | 2019-01-29 |
| 1194296905 | Claudia Mast | Social Worker | 301 W Burlington, Fairfield, IA 52556-5255 | 2018-12-06 |
| 1942782842 | Michael Joseph Molina | Social Worker | 510 Parker Rd, Fairfield, CA 94533-9000 | 2018-09-06 |
| 1134605256 | Ashley Marie Stringer | Social Worker | 7000 Grasselli Rd, Fairfield, AL 35064-2424 | 2018-07-11 |
| Find all providers in FAIRFIELD | ||||
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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.