DR. KATHERINE BOTHOS (NPI# 1114254836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114254836 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE BOTHOS |
| Credential | PSY.D |
| Practice Address |
170 Post Rd Suite 208 Fairfield CT 06824-6242 |
| Practice Telephone | 2034453736 |
| Mailing Telephone | 2034453736 |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2017-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
002950 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CTBPH/BEACON HEALTH VOPTIONS BOTHS,MD | 004553 | 01 |
| CT | FEI BEHAVIORAL HEALTH AWAKEN THE POWER THERAPY, LLC | PENDING | 01 |
| CT | MULTI-PLAN -AWAKEN THE POWER THERAPY, LLC | PENDING | 01 |
| CT | ANTHEM BCBS OF CT -AWAKEN THE POWER THERAPY, LLC | PENDING | 01 |
| CT | OPTUM BEHAVIORAL HEALTH- UHC AWAKEN THE POWER THERAPY, LLC | PENDING | 01 |
| CT | HEALTHY CT- AWAKEN THE POWER THERAPY, LLC | PENDING | 01 |
| CT | 008025366 | 05 | |
| CT | CAQH | 12099166 | 01 |
| CT | OPTUM BEHAVIORAL HEALTH- OXFORD/FREEDOM AWAKEN THE POWER THERAPY | PENDING | 01 |
| CT | ANTHEM BCBS OF CT- BOTHOS. MD | 06002950CT02 | 01 |
| CT | CIGNA BEHAVIORAL HEALTH BOTHOS, MD | 3239811 | 01 |
| CT | CIGNA BEHAVIORAL HEALTH- AWAKEN THE POWER THERAPY, LLC | PENDING | 01 |
| CT | OPTUM BEHAVIORAL HEALTH- AWAKEN THE POWER THERAPY, LLC | PENDING | 01 |
| CT | BEACON HEALTH- VALUE OPTIONS AWAKEN THE POWER THERAPY, LLC | PENDING | 01 |
| CT | OPTUM BEHAVIORAL HEALTH CONNECTICARE- AWAKEN THE POWER THERAPY, | PENDING | 01 |
| CT | THREE RIVERS AWAKEN THE POWER THERAPY, LLC | PENDING | 01 |
| Street Address |
170 POST RD SUITE 208 |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-6242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871044388 | Dr. Katherine Bothos LLC | Psychologist | 170 Post Rd, Suite 208, Fairfield, CT 06824-6262 | 2016-10-19 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407404684 | Siobhan O'leary Evarts | Psychologist | 1275 Post Rd Ste A18, Fairfield, CT 06824-6060 | 2019-08-30 |
| 1164887949 | Kara Emery | Psychologist | 520 Chadbourne Rd, Fairfield, CA 94534-9453 | 2015-12-22 |
| 1619220563 | April Justine Young | Psychologist | 712 Texas St, Fairfield, CA 94533-5519 | 2012-10-16 |
| 1306147350 | Dody J. Reustle | Psychologist | 711 Jefferson Street, Suite 202, Fairfield, CA 94533-5556 | 2010-11-08 |
| 1033438015 | Dr. Katherine Bothos, LLC | Psychologist | 170 Post Rd Ste 208, Fairfield, CT 06824-6242 | 2010-05-29 |
| 1740506054 | Agila Rangarajan | Psychologist | 2812 Mack Rd, Fairfield, OH 45014-5130 | 2010-04-12 |
| 1871764076 | Norma Jean Van Volkinburg | Psychologist | 694 A Street, Travis Air Force Base To, Fairfield, CA 94535 | 2008-03-14 |
| 1033388327 | Erin R Frick | Psychologist | 728 Texas St, Suite 3, Fairfield, CA 94533-5560 | 2008-02-21 |
| 1679768329 | Pioli Psychological Services | Psychologist | 1495 Black Rock Turnpike, Fairfield, CT 06825 | 2007-09-06 |
| 1992838247 | Nancy E Killian | Psychologist | 1241 Post Rd, Fairfield, CT 06824-6025 | 2007-03-14 |
| 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.