CHILDRENS HEALTH SERVICE (NPI# 1205901758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205901758 |
| Entity Type | Organization |
| Organization Name | CHILDRENS HEALTH SERVICE |
| Practice Address |
4 Goodhill Rd Weston CT 06883 |
| Practice Telephone | 2032263035 |
| Practice Fax Number | 2032211736 |
| Mailing Telephone | 2032263035 |
| Mailing Fax Number | 2032211736 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GERALD LIEBERMAN (OWNER) |
| Authorized Official Telephone | 2032263035 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
4 GOODHILL RD |
| City | WESTON |
| State | CT |
| Zip Code | 06883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245313493 | Elin R Cohen | Pediatrics | 4 Goodhill Rd, Weston, CT 06883 | 2006-10-23 |
| 1497845549 | Gerald Lieberman | Pediatrics | 4 Goodhill Rd, Weston, CT 06883 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871136614 | Lucy Chestler | Specialist/Technologist | 20 Merry Lane, Weston, CT 06883 | 2019-10-24 |
| 1073035465 | Eve Melissa Applebaum-dominick | Social Worker | 155 Steep Hill Rd., Weston, CT 06883 | 2017-07-07 |
| 1639605082 | Neil Michael Kurtz | Psychiatry & Neurology | 165 Old Redding Road, Weston, CT 06883 | 2017-05-04 |
| 1558666289 | Pamela Suzanne Schramm | Optometrist | 246 Federal Rd., Suite C-12, Brookfield, CT 06883 | 2011-01-11 |
| 1003032467 | Harry J Brown | Psychiatry & Neurology | 23 White Birch Road, Weston, CT 06883 | 2007-04-17 |
| 1881959187 | Paul Edward Schwartz | Internal Medicine | 15 Cindy Ln, Weston, CT 06883 | 2012-07-12 |
| 1386945145 | Denise Weber | Counselor | 18 Samuelson Rd, Weston, CT 06883-1009 | 2010-11-10 |
| 1578054664 | Nancy Deirdra Munnelly | Registered Nurse | 4 Whippoorwill Ln, Weston, CT 06883-1010 | 2018-05-23 |
| 1609015445 | Richard Lewis Sussman | Social Worker | 11 Sasqua Trl, Weston, CT 06883-1025 | 2009-02-18 |
| 1457671653 | Jaqueline Lapa Sussman | Counselor | 11 Sasqua Trl, Weston, CT 06883-1025 | 2010-06-10 |
| Find all providers in zip 06883 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524078 | Gail K Kraft | Pediatrics | 30 Holly Cir, Weston, MA 02493-1455 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780246306 | Pediatric Health Associates of Coneecticut, LLC | Pediatrics | 239 Silas Deane Hwy, Wethersfield, CT 06109-1730 | 2019-07-03 |
| 1073943668 | Pediatric Walk In Care LLC | Pediatrics | 141 B Hazard Avenue, Enfield, CT 06082-5412 | 2013-11-18 |
| 1225319445 | Enfield Pediatric Associates,p.c. | Pediatrics | 155 Hazard Ave Ste 14, Enfield, CT 06082-4586 | 2011-09-01 |
| 1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
| 1326166125 | Mary A. Simon | Pediatrics | 7 Melrose Dr, Farmington, CT 06032-0893 | 2007-03-27 |
| 1376678516 | Sydney Zane Spiesel | Pediatrics | 8 Lunar Dr, Woodbridge, CT 06525-2352 | 2007-02-21 |
| 1649314279 | Charles Ray Jones | Pediatrics | 111 Park St Ste F, New Haven, CT 06511-5412 | 2007-02-16 |
| 1427110469 | Radhika Malhotra | Pediatrics | 100 Bank St, Suite 307, Seymour, CT 06483-2806 | 2006-12-15 |
| 1386704682 | Andrews Adu Adade | Pediatrics | 18 Hillandale Ave, Stamford, CT 06902-2808 | 2006-12-11 |
| 1982706032 | John Gerald Pitegoff | Pediatrics | 1225 Silver St, Middletown, CT 06457-3920 | 2006-09-01 |
| 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.