SHORELINE PSYCHIATRY OF WESTERN CONNECTICUT, LLC (NPI# 1194923888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194923888 |
| Entity Type | Organization |
| Organization Name | SHORELINE PSYCHIATRY OF WESTERN CONNECTICUT, LLC |
| Practice Address |
20 Old Kings Hwy S 2nd Floor Darien CT 06820-4521 |
| Practice Telephone | 2036561452 |
| Practice Fax Number | 2036561485 |
| Mailing Telephone | 2036561452 |
| Mailing Fax Number | 2036561485 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BART A SLOND (PRESIDENT) |
| Authorized Official Telephone | 2036561452 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639377328 | Shoreline Psychiatry of Western Connecticut, LLC | Psychologist | 20 Old Kings Hwy S, 2nd Floor, Darien, CT 06820-4521 | 2007-07-05 |
| 1134251564 | Shoreline Psychiatry of Western Connecticut, LLC | Psychiatry & Neurology | 71 East Ave, Suite V, Norwalk, CT 06851-4903 | 2007-03-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SHORELINE PSYCHIATRY OF WESTERN CONNECTICUT, LLC | 71 East Ave Suite V, Norwalk, CT 06851 |
| Street Address |
20 OLD KINGS HWY S 2ND FLOOR |
| City | DARIEN |
| State | CT |
| Zip Code | 06820-4521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114934874 | Josephine Velazquez | Podiatrist | 20 Old Kings Hwy S, Darien, CT 06820-4521 | 2006-08-02 |
| 1639377328 | Shoreline Psychiatry of Western Connecticut, LLC | Psychologist | 20 Old Kings Hwy S, 2nd Floor, Darien, CT 06820-4521 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225574445 | Resolution Wellness | Physical Therapist | 5 Tokeneke Rd, Darien, CT 06820 | 2017-01-11 |
| 1548619158 | Gurpreet Singh | Pharmacist | 964 Post Road, Darien, CT 06820 | 2016-06-06 |
| 1578830584 | Darien Pediatric Associates, LLC | Pediatrics | 106 Noroton Avenue, Darien, CT 06820 | 2011-11-18 |
| 1649574476 | Kelly Anne Wolfe | Physical Therapist | 319 Post Rd, Darien, CT 06820 | 2011-01-09 |
| 1932409612 | Suzanne T. Spinella-curto | Social Worker | 110 Post Road, Darien, CT 06820 | 2010-10-27 |
| 1568793644 | Alan Marc Muney | Pediatrics | 70 Leeuwarden Rd., Darien, CT 06820 | 2010-01-29 |
| 1134356959 | Yuen-jong Liu | Plastic Surgery | 722 Post Rd Ste 200, Darien, CT 06820 | 2009-06-18 |
| 1740431667 | Lisa Michelle Supino | Psychologist | 6 Thorndal Circle, Darien, CT 06820 | 2008-10-09 |
| 1326222522 | Sharon Ellen Kutner | Social Worker | Family Centers- Center for Hope, 590 Post Road, Darien, CT 06820 | 2007-12-24 |
| 1174719637 | Jeanne E Castellucci | Chiropractor | 747 Post Rd, Darien, CT 06820 | 2007-09-19 |
| Find all providers in zip 06820 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104072073 | Patricia D. Barry, Phd, Aprn, LLC | Clinical Nurse Specialist | 60 Linnard Rd, West Hartford, CT 06107-1234 | 2008-08-12 |
| 1336262989 | Cara Marie Bartos | Clinical Nurse Specialist | 152 Simsbury Road, Building 9, Avon, CT 06001 | 2007-04-09 |
| 1669519724 | Linda Noll Demas | Clinical Nurse Specialist | 8 Ridge Dr, Old Saybrook, CT 06475-4227 | 2007-01-30 |
| 1083769590 | Nicholas Roy Gilbert | Clinical Nurse Specialist | 152 Simsbury Rd, Building 9, 2nd Floor, Avon, CT 06001-3777 | 2007-01-24 |
| 1306909601 | Lisabeth Emerson Johnston | Clinical Nurse Specialist | 361 Park Road, West Hartford, CT 06119 | 2006-12-18 |
| 1750495610 | Leslie Hetzel O'connor | Clinical Nurse Specialist | Yale- New Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-08-18 |
| 1326058926 | Colleen Mcdermott | Clinical Nurse Specialist | 151 Hazard Ave Suite 4, Johnson Professional Associates, Enfield, CT 06082 | 2006-08-08 |
| 1205842127 | Arlene Dumais | Clinical Nurse Specialist | 402 Long Hill Rd, Groton, CT 06340-3811 | 2006-07-31 |
| 1598787087 | Brian Geyser | Clinical Nurse Specialist | 51 Old Village Cir, Wallingford, CT 06492-4821 | 2006-07-24 |
| 1275553562 | Debra Ann Santos | Clinical Nurse Specialist | 282 Durham Rd, Madison, CT 06443-2454 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
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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.