COGNITIVE AND BEHAVIORAL CARE CENTER, LLC (NPI# 1194334334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194334334 |
| Entity Type | Organization |
| Organization Name | COGNITIVE AND BEHAVIORAL CARE CENTER, LLC |
| Practice Address |
55 Old Post Road #2, Suite 2c Greenwich CT 06830 |
| Mailing Address |
3 Jenifer Ln Cos Cob CT 06807-1719 |
| Practice Telephone | 2037600044 |
| Mailing Telephone | 9176564834 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | AMANDA EDWARDS DOHENY (OWNER) |
| Authorized Official Telephone | 2037600044 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Amanda Edwards, LCSW | Former Legal Business Name - Organization |
| Cognitive and Behavioral Care Center of Connecticut, LLC | Former Legal Business Name - Organization |
| Street Address |
55 OLD POST ROAD #2, SUITE 2C |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303341 | Cristina Castagna | Physical Therapist | 500 West Putnam Ave, 3rd Floor, Greenwich, CT 06830 | 2020-10-16 |
| 1245866433 | Barbara Edeson Roth | Speech-Language Pathologist | The Nathaniel Witherell Home, 70 Parsonage Road, Greenwich, CT 06830 | 2020-03-19 |
| 1750938932 | Evelyn Ramos | Licensed Practical Nurse | 111 Wilbur Peck Ct, Greenwich, CT 06830 | 2019-08-21 |
| 1134773674 | Alexandra Blair Conway | Psychologist | 55 Holly Hill Lane Suite 170, Greenwich, CT 06830 | 2019-08-01 |
| 1821560871 | Brionna Emily Lyles | Licensed Practical Nurse | 111 Wilbur Court, Greenwich, CT 06830 | 2018-12-31 |
| 1568959815 | Backcountry Wellness Inc. | Social Worker | 7 Lincoln Avenue, Greenwich, CT 06830 | 2018-04-21 |
| 1316455876 | Hillary Rea Bercovici | Counselor | 8 Sound Shore Dr Ste 130, Greenwich, CT 06830 | 2018-01-18 |
| 1689181083 | Coastal Eye Surgeons LLC | Ophthalmology | 600 W Putnam Ave Lowr Level, Greenwich, CT 06830 | 2018-01-07 |
| 1952853814 | Tina M. Crystal | Psychologist | 75 Holly Hill Lane, Suite 300, Greenwich, CT 06830 | 2016-10-26 |
| 1396109682 | Marjorie Livingston | Dietitian, Registered | 2 Greenwich Office Park, Suite 300, Greenwich, CT 06830 | 2016-04-12 |
| Find all providers in zip 06830 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841813086 | Christine M Podber | Counselor | 9 Benders Dr, Greenwich, CT 06831-4208 | 2020-05-22 |
| 1255830063 | Margaret Regina Henry | Counselor | 112 Havemeyer Pl, Greenwich, CT 06830-6332 | 2018-02-07 |
| 1902225360 | Stephen Brent Cowart | Counselor | 245 Easton Station Rd, Greenwich, NY 12834-5947 | 2014-04-14 |
| 1386880714 | Paul Walker Sorensen | Counselor | 237 Taconic Rd, Greenwich, CT 06831-3115 | 2009-01-07 |
| 1477525830 | Joanne Peyser | Counselor | 9 Benedict Place, Greenwich, CT 06830 | 2006-02-01 |
| 1972121473 | Harry Loy Anderson | Counselor | 75 Holly Hill Ln Ste 300, Greenwich, CT 06830-2918 | 2020-07-10 |
| 1306319298 | Sean Faulkner | Counselor | 179 Hamilton Ave, Greenwich, CT 06830-6672 | 2019-01-03 |
| 1811463953 | Sarah Pauker | Counselor | 75 Holly Hill Ln, Greenwich, CT 06830-6098 | 2018-10-16 |
| 1053806018 | Sara Vantilburg | Counselor | 20 Bridge St, Greenwich, CT 06830-5238 | 2018-06-22 |
| 1710480132 | Contemporary Care Counseling | Counselor | 81 Holly Hill Ln, Greenwich, CT 06830-6071 | 2018-03-12 |
| Find all providers in GREENWICH | ||||
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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.