DR. ILAN HARPAZ-ROTEM (NPI# 1144338229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144338229 |
| Entity Type | Individual |
| Full Name | DR. ILAN HARPAZ-ROTEM |
| Credential | PH.D. |
| Practice Address |
Va Healthcare System Psychology Services 116b 950 Campbell Ave West Haven CT 06516 |
| Mailing Address |
300 George St Ste 901 Department of Psychiatry New Haven CT 06511-6662 |
| Practice Telephone | 2039325711 |
| Practice Fax Number | 2039373433 |
| Mailing Telephone | 2039325711 |
| Mailing Fax Number | 2039373433 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
002621 | CT | Behavioral Health & Social Service Providers |
| Street Address |
VA HEALTHCARE SYSTEM PSYCHOLOGY SERVICES 116B 950 CAMPBELL AVE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619420304 | Sara N Edmond | Psychologist | 950 Campbell Ave # 116b, West Haven, CT 06516-2770 | 2016-07-28 |
| 1003908989 | James Poling | Psychologist | West Haven Va - Bldg. 36, 950 Campbell Ave., West Haven, CT 06516 | 2006-09-29 |
| 1871605071 | Anne S Klee | Psychologist | 114 Boston Post Rd Fl 2, West Haven, CT 06516-2043 | 2006-08-31 |
| 1174139851 | Angela Haeny | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-18 |
| 1104431675 | Allison Rae Warren | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-11 |
| 1417503665 | Amy Sara Grinberg | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2019-08-14 |
| 1639725765 | Lucy Ling Gu | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2019-08-14 |
| 1598311714 | Margaret Bauer | Psychologist | 950 Campbell Ave, Va Connecticut Healthcare System (116b), West Haven, CT 06516 | 2019-08-13 |
| 1285112730 | Galina A Portnoy | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2018-08-06 |
| 1265934954 | Alicia Heapy | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2018-03-08 |
| Find all providers in WEST HAVEN | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
Please comment or provide details below to improve the information on DR. ILAN HARPAZ-ROTEM.
| 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.