SHANTHI MOGALI (NPI# 1144406802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144406802 |
| Entity Type | Individual |
| Full Name | SHANTHI MOGALI |
| Credential | M.D. |
| Practice Address |
187 S Canaan Rd Canaan CT 06018-2544 |
| Practice Telephone | 8003625229 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2016-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
261192 | MA | Allopathic & Osteopathic Physicians |
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
53341 | CT | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
251965 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
187 S CANAAN RD |
| City | CANAAN |
| State | CT |
| Zip Code | 06018-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029524 | Colin Whitaker | Counselor | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2019-11-28 |
| 1366904799 | Gabrielle Kathleen Wynschenk | Marriage & Family Therapist | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2019-04-04 |
| 1154895704 | Trisha Dibiase | Nurse Practitioner | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2019-01-16 |
| 1992274427 | Anthony Joseph Nave Jr. | Social Worker | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2018-11-14 |
| 1366910341 | Crystal Lynn Sonnati | Counselor | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2018-11-07 |
| 1598256612 | Meesha Jemison | Registered Nurse | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2018-05-24 |
| 1942711858 | Lukasz W Junger | Nurse Practitioner | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2017-10-18 |
| 1194248617 | Katherine Phelps Downes | Counselor | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2017-07-18 |
| 1134662778 | Kathryn Fitzgerald | Counselor | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2016-11-30 |
| 1740633379 | Abdul Jalil Shabazz | Counselor | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2016-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780038331 | Lisa Beth Westerson | Social Worker | 187 South Canaan Road, Canaan, CT 06018 | 2016-04-20 |
| 1245609361 | Chelsi Flood | Counselor | 187 South Canaan Rd, Canaan, CT 06018 | 2015-09-18 |
| 1437539434 | Karen Browning | Physical Therapist | 99 South Canaan Rd, Canaan, CT 06018 | 2015-06-04 |
| 1366871147 | Sophia Hartell | Acupuncturist | Route 7, Box 717, Canaan, CT 06018 | 2013-11-02 |
| 1083883177 | Mountainside Treatment Center | Substance Abuse Rehabilitation Facility | 187 Route 7, Canaan, CT 06018 | 2008-02-22 |
| 1962527762 | Thomas Livingstone | Dentist | 3 Railroad St., Canaan, CT 06018 | 2007-03-20 |
| 1396271557 | Joycelyn Faraj | Dietitian, Registered | Route 7, Box 717, Canaan, CT 06018 | 2017-05-10 |
| 1023423399 | Housatonic Valley Dental Care | Clinic/Center | 60 Church Street, Canaan, CT 06018 | 2014-06-25 |
| 1205049392 | Donald T Martin | Dentist | 100 Main Street, Canaan, CT 06018 | 2007-05-07 |
| 1326128331 | Jane Erin Simonds | Physical Therapist | 99 South Canaan Road, Canaan, CT 06018 | 2006-10-16 |
| Find all providers in zip 06018 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1154583748 | Zinaida Boutaeva | Psychiatry & Neurology | 6232 Avalon Dr W, Orange, CT 06477-3679 | 2008-06-25 |
| 1669402343 | Jean Carl Jarda | Psychiatry & Neurology | 28-2 Shunpike Rd, Cromwell, CT 06416 | 2006-07-05 |
| 1336124676 | Yuencheng Han | Psychiatry & Neurology | 750 Straits Tpke, Middlebury, CT 06762-2833 | 2005-12-09 |
| 1831647957 | Straun Health & Wellness | Psychiatry & Neurology | 1224 Mill St, Bldg B, East Berlin, CT 06023-1159 | 2016-09-18 |
| 1528444346 | Marie-josee A. Lynch | Psychiatry & Neurology | 950 Campbell Ave, West Haven, CT 06516-2770 | 2015-08-04 |
| 1215367081 | Gengyun Wen | Psychiatry & Neurology | 189 Storrs Rd, Natchaug Hospital, Mansfield Center, CT 06250-1683 | 2013-11-15 |
| 1043560287 | Michael Kofi Adusei | Psychiatry & Neurology | 30 Shelburne Rd, Stamford Hospital, Stamford, CT 06902 | 2012-09-14 |
| 1023370186 | Maria Ghanbari Motlagh | Psychiatry & Neurology | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2012-06-13 |
| 1205077542 | Brighter Concept Inc. | Psychiatry & Neurology | 2000 Post Rd, Suite # Ll 105, Fairfield, CT 06824-5730 | 2009-03-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHANTHI MOGALI.
| 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.