NORTH CENTRAL CONNECTICUT PSYCHOTHERAPY (NPI# 1205357134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205357134 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL CONNECTICUT PSYCHOTHERAPY |
| Practice Address |
880 Burbank Ave Suffield CT 06078-1459 |
| Mailing Address |
54 Gillette Ave Springfield MA 01118-1518 |
| Practice Telephone | 4134781764 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-06-30 |
| Authorized Official Name | AMY C ALIENGENA (CEO) |
| Authorized Official Telephone | 4134781764 |
| Authorized Official Credential | MA, MBA |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053674127 | North Central Connecticut Psychotherapy | Counselor | 230b Mountain Rd, Suffield, CT 06078-2094 | 2012-06-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | North Central Connecticut Psychotherapy, PC | 880 Burbank Avenue, Suffield, CT 06078 |
| Street Address |
880 BURBANK AVE |
| City | SUFFIELD |
| State | CT |
| Zip Code | 06078-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841231917 | Kristina Marie Hallett | Psychologist | 880 Burbank Ave, Suffield, CT 06078-1459 | 2006-06-09 |
| 1720511389 | Kristina Hallett, Phd, Abpp. Inc. | Psychologist | 880 Burbank Ave, Suffield, CT 06078-1459 | 2017-04-10 |
| 1417370701 | Marisa Savluk | Social Worker | 880 Burbank Ave, Suffield, CT 06078-1459 | 2014-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821645300 | Olga Tereshchuk | Physical Therapist | 230 Mountain Road, Suffield, CT 06078 | 2019-08-20 |
| 1699223198 | Alea Tardy | Social Worker | 58 Suffield Meadow Dr, Suffield, CT 06078 | 2016-09-14 |
| 1154679280 | Jacqueline Testa | Counselor | 133 Mountain Road, 2nd Floor, Suffield, CT 06078 | 2012-08-21 |
| 1003010836 | Amanda M Cuevas | Counselor | 49 Valley View Dr, Suffield, CT 06078 | 2007-06-14 |
| 1538259767 | Richard J Colo | Optometrist | 162 Mountain Road, Suffield, CT 06078 | 2006-10-16 |
| 1104848019 | Anil Mukund Mehta | Dentist | 681 East Street North, Suffield, CT 06078 | 2006-07-24 |
| 1407366388 | Dahlia Counseling Services, LLC | Counselor | 133 Mountain Road, 2nd Floor, Suffield, CT 06078 | 2017-10-05 |
| 1508387481 | Joseph C Coleman | Psychologist | 1151 East Street South, Suffield, CT 06078 | 2017-06-30 |
| 1477802841 | A.g.n. Dental Associates, P.C. | Dentist | 133 Mountain Road, Suffield, CT 06078 | 2012-08-31 |
| 1083919922 | Brett G Carra | Social Worker | 133 Mountain Rd, Suffield, CT 06078 | 2011-01-25 |
| Find all providers in zip 06078 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194270439 | Kevin Hull | Counselor | 44 Poole Rd, Suffield, CT 06078-2016 | 2016-08-16 |
| 1003010836 | Amanda M Cuevas | Counselor | 49 Valley View Dr, Suffield, CT 06078 | 2007-06-14 |
| 1053674127 | North Central Connecticut Psychotherapy | Counselor | 230b Mountain Rd, Suffield, CT 06078-2094 | 2012-06-22 |
| 1821308388 | Norah M Lusignan | Counselor | 230b Mountain Rd, Suffield, CT 06078-2094 | 2010-10-18 |
| 1134248180 | Amy C Aliengena | Counselor | 230b Mountain Rd, Suffield, CT 06078-2094 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627666 | Kimberly Gordon | Counselor | 24 Sheehan Rd, Warren, CT 06777-1008 | 2020-10-24 |
| 1124627575 | Heather Leigh Black | Counselor | 12 Lakeview Blvd, Avon, CT 06001-3442 | 2020-10-17 |
| 1003422114 | Infinite Potential Counseling, Inc | Counselor | 2 Pons Rd, Mystic, CT 06355-1103 | 2020-09-23 |
| 1891307682 | Sara Eve Jamison | Counselor | 129 Fieldstone Rd, Stamford, CT 06902-2581 | 2020-08-21 |
| 1023620184 | Christine Adams Osborn | Counselor | 32 Delafield Island Rd, Darien, CT 06820-6010 | 2020-08-20 |
| 1437760071 | Danielle Gofman | Counselor | 2675 Park Ave Unit 29, Bridgeport, CT 06604-1356 | 2020-08-16 |
| 1285243238 | A New Perspective Counseling Services LLC | Counselor | 37 Jenny Ln, Wolcott, CT 06716-1634 | 2020-07-27 |
| 1194334334 | Cognitive and Behavioral Care Center, LLC | Counselor | 55 Old Post Road #2, Suite 2c, Greenwich, CT 06830 | 2020-07-23 |
| 1952910192 | Tyrek J Pratt | Counselor | 41b New London Tpke Lowr Level, Glastonbury, CT 06033-4240 | 2020-07-23 |
| 1326656752 | Resilient Self Counseling Pllc | Counselor | 12 Pine Glen Rd, Simsbury, CT 06070-2714 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTH CENTRAL CONNECTICUT PSYCHOTHERAPY.
| 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.