SHORELINE PSYCHIATRY OF WESTERN CONNECTICUT, LLC (NPI# 1134251564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134251564 |
| Entity Type | Organization |
| Organization Name | SHORELINE PSYCHIATRY OF WESTERN CONNECTICUT, LLC |
| Practice Address |
71 East Ave Suite V Norwalk CT 06851-4903 |
| Practice Telephone | 2036561452 |
| Practice Fax Number | 2036561485 |
| Mailing Telephone | 2036561452 |
| Mailing Fax Number | 2036561485 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2013-01-17 |
| Authorized Official Name | BARBARA STUKES (OFFICE MANAGER) |
| Authorized Official Telephone | 2036561452 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194923888 | Shoreline Psychiatry of Western Connecticut, LLC | Clinical Nurse Specialist | 20 Old Kings Hwy S, 2nd Floor, Darien, CT 06820-4521 | 2007-07-05 |
| 1639377328 | Shoreline Psychiatry of Western Connecticut, LLC | Psychologist | 20 Old Kings Hwy S, 2nd Floor, Darien, CT 06820-4521 | 2007-07-05 |
| Street Address |
71 EAST AVE SUITE V |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-4903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811970551 | Jacquelyn A Meyer | Clinical Nurse Specialist | 71 East Ave, Suite V, Norwalk, CT 06851-4903 | 2005-11-28 |
| 1275067597 | Megan Haas Nd LLC | Naturopath | 71 East Ave, Suite D, Norwalk, CT 06851-4903 | 2017-04-13 |
| 1366982571 | Megan Haas | Naturopath | 71 East Ave, Suite D, Norwalk, CT 06851-4903 | 2017-03-07 |
| 1942745591 | Brian Crouse | Acupuncturist | 71 East Ave, Suite D, Norwalk, CT 06851 | 2017-01-05 |
| 1902141559 | Rodolfo Jose Rosado | Psychologist | 71 East Ave, Suite U, Norwalk, CT 06851-4903 | 2012-12-09 |
| 1831479302 | Erica Leigh Waters | Naturopath | 71 East Ave, Suite D, Norwalk, CT 06851-4903 | 2011-08-27 |
| 1104114438 | Summer D Mcallister | Naturopath | 71 East Ave, Suite D, Norwalk, CT 06851-4903 | 2011-07-20 |
| 1144418955 | Theresa A Cutillo-schmitter | Clinical Nurse Specialist | 71 East Ave, Suite V, Norwalk, CT 06851-4903 | 2007-10-05 |
| 1063615540 | Leonard Alan Kenowitz | Counselor | 71 East Ave, Suite R, Norwalk, CT 06851-4903 | 2007-06-11 |
| 1386858793 | Margarida Caldeira-saraiva | Counselor | 71 East Ave, Suite T, Norwalk, CT 06851-4903 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
| 1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
| 1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
| 1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
| 1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
| 1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
| 1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
| Find all providers in zip 06851 | ||||
| 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 |
|---|---|---|---|---|
| 1598901167 | Torang Shatzmiller Sepah | Psychiatry & Neurology | 12715 Pioneer Blvd, Norwalk, CA 90650-2873 | 2009-01-01 |
| 1376706531 | Upender Gehlot | Psychiatry & Neurology | 282 Benedict Ave Ste C, Norwalk, OH 44857-2712 | 2008-07-08 |
| 1558491761 | Helpline Youth Counseling, Inc. | Psychiatry & Neurology | 12440 E. Firestone Blvd Ste 316, Norwalk, CA 90650-9319 | 2007-03-06 |
| 1710053939 | John Russell Meyers | Psychiatry & Neurology | 128 East Ave Ste 1, Norwalk, CT 06851 | 2006-11-28 |
| 1265488944 | David Orlando Niz | Psychiatry & Neurology | 11401 S Bloomfield Ave, Norwalk, CA 90650 | 2006-05-25 |
| 1487600045 | Rebecca D Avena-gonzales | Psychiatry & Neurology | 11401 South Bloomfield Ave, Norwalk, CA 90650 | 2006-05-25 |
| 1861453722 | David S Estrada | Psychiatry & Neurology | 11041 Bloomfield Ave, Norwalk, CA 90650 | 2006-03-30 |
| 1508834888 | Nerissa Sibal | Psychiatry & Neurology | 11401 Bloomfield, Norwalk, CA 90650 | 2006-03-10 |
| 1972500403 | Ehab Gamil Hanna | Psychiatry & Neurology | 11401 South Bloomfield Ave., Norwalk, CA 90650 | 2005-06-30 |
| 1518487958 | Rashed Rumi | Psychiatry & Neurology | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 | 2017-06-27 |
| Find all providers in NORWALK | ||||
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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.