BETH M KARASSIK (NPI# 1215043054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215043054 |
| Entity Type | Individual |
| Full Name | BETH M KARASSIK |
| Credential | PH.D |
| Practice Address |
1095 S Main St Cheshire CT 06410-3432 |
| Practice Telephone | 2032713809 |
| Practice Fax Number | 2032726968 |
| Mailing Telephone | 2032713809 |
| Mailing Fax Number | 2032726968 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2013-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
001832 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM BLUE CROSS PROV # | 060001832CT01 | 01 |
| CT | 004093233 | 05 |
| Street Address |
1095 S MAIN ST |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851947535 | Karen A Zelman | Psychologist | 1095 S Main St, Cheshire, CT 06410-3432 | 2019-08-17 |
| 1265946842 | Shiva Rezvan Homami | Psychologist | 1095 S Main St, Cheshire, CT 06410-3432 | 2017-11-19 |
| 1093009599 | Karina Gitman | Clinical Neuropsychologist | 1095 S Main St, Cheshire, CT 06410-3432 | 2011-06-02 |
| 1326359860 | Lori Ellen Clark | Psychologist | 1095 S Main St, Cheshire, CT 06410-3432 | 2010-06-30 |
| 1053478693 | Virginia Dalton Taylor | Psychologist | 1095 S Main St, Cheshire, CT 06410-3432 | 2007-01-02 |
| 1780790352 | Comprehensive Neuropsychological Services, P.C. | Psychologist | 1095 S Main St, Cheshire, CT 06410-3432 | 2006-08-23 |
| 1114033792 | Stephen D Sarfaty | Clinical Neuropsychologist | 1095 S Main St, Cheshire, CT 06410-3432 | 2006-08-23 |
| 1104932904 | Brett A Steinberg | Psychologist | 1095 S Main St, Cheshire, CT 06410-3432 | 2006-08-22 |
| 1710093505 | Diana G Fox | Psychologist | 1095 S Main St, Cheshire, CT 06410-3432 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549252 | Piece To Peace, LLC | Social Worker | 609 West Johnson Avenue, Third Floor, Cheshire, CT 06410 | 2020-02-05 |
| 1023678869 | Suzanne Meyer-farrell | Counselor | 673 South Avenue, Cheshire, CT 06410 | 2019-06-14 |
| 1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
| 1528558525 | Stephen Lynam | Specialist/Technologist | 300 Wiese Rd, Cheshire, CT 06410 | 2018-05-15 |
| 1205358934 | Jayme Lynn Tapp | Physical Therapist | 150 Cook Hill Road, Cheshire, CT 06410 | 2017-07-14 |
| 1366810152 | Lauren K Johnson | Counselor | 609 W Johnson Ave Unit 310, Cheshire, CT 06410 | 2015-09-10 |
| 1225423924 | Christian Daniel Ward | Internal Medicine | 366 S Main St Ste 2, Cheshire, CT 06410 | 2015-03-31 |
| 1750795647 | James W. Pier, Ph.d., LLC | Clinical Neuropsychologist | 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 | 2014-06-18 |
| 1619398427 | Joanna Garfinkle | Psychologist | 1095 South Main Street, Cheshire, CT 06410 | 2013-12-20 |
| 1649511437 | Heather R Laselle | Social Worker | 176 Robin Ln, Cheshire, CT 06410 | 2013-03-05 |
| Find all providers in zip 06410 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629698238 | David A Stayner | Psychologist | 39 Pleasant Dr, Cheshire, CT 06410-2241 | 2020-04-23 |
| 1619398427 | Joanna Garfinkle | Psychologist | 1095 South Main Street, Cheshire, CT 06410 | 2013-12-20 |
| 1811326671 | Adria Dibenedetto | Psychologist | 52 Buttonwood Cir, Cheshire, CT 06410-4306 | 2013-11-02 |
| 1033402086 | Gina Lynn Abbott | Psychologist | 290 Highland Ave Ste 2, Cheshire, CT 06410 | 2011-05-24 |
| 1073828117 | Kelly Ann Schmidt | Psychologist | 182 Waverly St, Cheshire, CT 06410-2516 | 2010-08-12 |
| 1851612881 | Vincent John Franco | Psychologist | 25 Creamery Rd, Cheshire, CT 06410-1616 | 2010-06-14 |
| 1154530269 | Alan M Smirnoff | Psychologist | 408 Highland Ave, Suite A2, Cheshire, CT 06410-2525 | 2007-05-22 |
| 1538298682 | Ryan Loss | Psychologist | 325 Highland Ave, Suite 202, Cheshire, CT 06410-2548 | 2007-03-05 |
| 1063563377 | Basil Anton | Psychologist | 908 S Meriden Rd, Cheshire, CT 06410-1863 | 2007-01-15 |
| 1629184494 | Carey A O'neill | Psychologist | 4 Pine Brook Ct, Cheshire, CT 06410-3746 | 2006-08-22 |
| Find all providers in CHESHIRE | ||||
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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.