CHARLES PETERSON (NPI# 1154798502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154798502 |
| Entity Type | Individual |
| Full Name | CHARLES PETERSON |
| Practice Address |
185 Silas Deane Hwy Wethersfield CT 06109 |
| Mailing Address |
1487 Longmeadow St Longmeadow MA 01106-2204 |
| Practice Telephone | 8606981680 |
| Mailing Telephone | 4137268716 |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
003293 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 115479-8502 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 185 Silas Deane Hwy, Wethersfield, CT 06109 | 8606981680 | |
| 1487 Longmeadow St, Longmeadow, MA 011062204 | 4137268716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609026897 | Charles Marquis Peterson | Internal Medicine | 12910 Dalyn Dr, Potomac, MD 20854-1176 | 2008-09-24 |
| 1134243355 | Charles Mark Peterson | Registered Nurse | 830 14th Ave, Seattle, WA 98122-4508 | 2007-03-16 |
| 1902973415 | Charles Walter Peterson | Optometrist | 904 Elliott Ave N, Wenatchee, WA 98801-1666 | 2006-11-29 |
| 1558472613 | Charles Edwin Peterson | Internal Medicine | 904 Meadow Lane, Schenectady, NY 12309 | 2006-08-31 |
| 1700845526 | Charles A Peterson | Orthopaedic Surgery | 8438 N Mercer Way, Mercer Island, WA 98040-3134 | 2006-03-21 |
| 1952302143 | Charles Smith Peterson | Family Medicine | 3130 E Baseline Rd, Suite 101, Mesa, AZ 85204-7290 | 2005-08-10 |
| 1871036798 | Charles Capdeville Peterson | Family Medicine | 801 S Chevy Chase Dr Ste 230, Glendale, CA 91205-4436 | 2016-11-25 |
| 1982018818 | Charles William Peterson Iv | Behavioral Analyst | 21929 Highland Knolls Dr, Katy, TX 77450-5873 | 2014-06-18 |
| 1295026821 | Charles John Peterson | Student in an Organized Health Care Education/Training Program | 308 Harvard St Se, Minneapolis, MN 55455-0343 | 2011-05-01 |
| 1437234499 | Charles John Peterson | Emergency Medicine | 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 | 2006-10-26 |
| Street Address |
185 SILAS DEANE HWY |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255434734 | Andrew J Sokolik | Optometrist | 185 Silas Deane Hwy, Wethersfield, CT 06109-1219 | 2006-09-07 |
| 1629561428 | Optometric Specialty Group of Wethersfield, Pllc | Optometrist | 185 Silas Deane Hwy, Wethersfield, CT 06109-1219 | 2018-06-07 |
| 1710353792 | Counseling for Change and Growth LLC | Counselor | 185 Silas Deane Hwy, Third Floor, Wethersfield, CT 06109 | 2015-08-13 |
| 1114312238 | Diana Abate Schneider | Marriage & Family Therapist | 185 Silas Deane Hwy, 320, Wethersfield, CT 06109-1219 | 2015-04-06 |
| 1871853721 | Blerim Rexhaj | Counselor | 185 Silas Deane Hwy, Third Floor, Wethersfield, CT 06109 | 2012-05-25 |
| 1093080129 | Mindful Actions, LLC | Community/Behavioral Health | 185 Silas Deane Hwy, Suite # 320, Wethersfield, CT 06109-1219 | 2012-03-22 |
| 1265731392 | Aj Eckert | Family Medicine | 185 Silas Deane Hwy, Wethersfield, CT 06109 | 2011-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223293 | Sonya Voytas Maher | Technician/Technologist | 1197 Main Street, Coventry, CT 06109 | 2020-04-16 |
| 1336775485 | Lance Morton | Hearing Instrument Specialist | Miracle Ear, 1206 Silas Deane Hwy, Wethersfield, CT 06109 | 2020-03-20 |
| 1780178350 | Bethany Wittman | Audiologist | 988 Silas Deane Highway, Wethersfield, CT 06109 | 2018-06-18 |
| 1659806404 | Lauren M Mcgrath | Physical Therapist | 672 Silas Deane Highway, Wethersfield, CT 06109 | 2017-04-28 |
| 1851824858 | A Plus Senior Home Care LLC | In Home Supportive Care | 183 Clearfield Rd, Wethersfield, CT 06109 | 2017-04-06 |
| 1801270707 | Dr.matthew Carbone Family Chiropractic | Chiropractor | 15 Country Club Rd, Wethersfield, CT 06109 | 2015-07-10 |
| 1629455910 | Melanie Anne Parker | Physical Therapist | 850 Silas Deane Hwy #2, Wethersfield, CT 06109 | 2015-05-06 |
| 1508271875 | Integrated Procare Services | Counselor | 415 Silas Deane Hwy # 401, Wethersfield, CT 06109 | 2014-06-25 |
| 1265867394 | Caregiver Homes of Connecticut, Inc | Custodial Care Facility | 912 Silas Dean Highway - Suite 101, Weathersfield, CT 06109 | 2013-09-09 |
| 1285925651 | Steven Warren Young | Pharmacist | 657 Silas Deane Highway, Rite Aid Pharmacy, Wethersfield, CT 06109 | 2011-04-20 |
| Find all providers in zip 06109 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225013 | Madison Kathleen Reimondo | Counselor | 185 Silas Deane Hwy Ste 2, Wethersfield, CT 06109-1219 | 2020-11-06 |
| 1508271875 | Integrated Procare Services | Counselor | 415 Silas Deane Hwy # 401, Wethersfield, CT 06109 | 2014-06-25 |
| 1588953053 | Scott Rossignol | Counselor | 35 Fox Hill Rd, Wethersfield, CT 06109-4127 | 2011-04-05 |
| 1457672651 | Patria Baugh | Counselor | 1177 Silas Deane Hwy Ste 3, Wethersfield, CT 06109-4332 | 2010-06-22 |
| 1841512795 | Carey B Downes | Counselor | 185 Silas Deane Hwy Ste 1, Wethersfield, CT 06109-1219 | 2010-02-19 |
| 1588868277 | Mary Ann D Fitzgerald | Counselor | 415 Silas Deane Hwy Ste 220, A Balanced Life Counseling Center, LLC, Wethersfield, CT 06109-2119 | 2007-06-14 |
| 1437774478 | Elevate Counseling for Children and Families | Counselor | 45 Dogwood Rd, Wethersfield, CT 06109-1420 | 2020-06-16 |
| 1740788645 | New Horizon Counseling Services, LLC | Counselor | 185 Silas Deane Hwy Ste 3, Wethersfield, CT 06109-1219 | 2018-01-25 |
| 1154866598 | Shannon Smith | Counselor | 1177 Silas Deane Hwy, Third Floor, Wethersfield, CT 06109-4348 | 2016-12-20 |
| 1225429525 | Unlimited You, LLC | Counselor | 350 Silas Deane Hwy, Suite 303, Wethersfield, CT 06109-1700 | 2015-02-09 |
| Find all providers in WETHERSFIELD | ||||
| City | WETHERSFIELD |
| Zip Code | 06109 |
Please comment or provide details below to improve the information on CHARLES PETERSON.
| 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.