MR. SEAN M MANSFIELD (NPI# 1215417407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215417407 |
| Entity Type | Individual |
| Full Name | MR. SEAN M MANSFIELD |
| Credential | LPC |
| Practice Address |
62 Grant Street Grant Street Partnership New Haven CT 06519-0651 |
| Mailing Address |
400 Columbus Avenue Credentialing Specialist New Haven CT 06519-1233 |
| Practice Telephone | 2035033350 |
| Practice Fax Number | 2035033370 |
| Mailing Telephone | 2035033174 |
| Mailing Fax Number | 2035033183 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3469 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004235918 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326425190 | Sean Charles Mansfield | Counselor | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2015-04-30 |
| 1659629970 | Sean Cameron Mansfield | Counselor | 1506 1st St, Princeton, MN 55371-1462 | 2012-08-16 |
| Street Address |
62 GRANT STREET GRANT STREET PARTNERSHIP |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-0651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285790436 | Daena Murphy | Social Worker | 62 Grant Street, Grant Street Partnership, New Haven, CT 06519-3456 | 2006-12-29 |
| 1801438981 | John-tyler Markette | Counselor | 62 Grant Street, Grant Street Partnership, New Haven, CT 06519-3456 | 2019-10-10 |
| 1588146062 | Karen Michelle Tyson | Counselor | 62 Grant Street, Grant Street Partnership, New Haven, CT 06519-3456 | 2018-08-31 |
| 1093214892 | David Kennedy | Social Worker | 62 Grant Street, Grant Street Partnership, New Haven, CT 06519-0651 | 2018-02-07 |
| 1174033047 | Jamie Nichole Vesciglio | Social Worker | 62 Grant Street, Grant Street Partnership, New Haven, CT 06519-2514 | 2017-10-05 |
| 1386162105 | Jillian Alexandria Tuschhoff | Social Worker | 62 Grant Street, Grant Street Partnership, New Haven, CT 06519-3456 | 2017-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740935 | Art Therapy Explorations LLC | Counselor | 23 Temple St, New Haven, CT 06510-2714 | 2020-11-02 |
| 1376174367 | Nicole Anderson | Counselor | 189 Orange St Ste 380, New Haven, CT 06510-2014 | 2020-01-29 |
| 1932763935 | Deborah K Rosen | Counselor | 357 Whitney Ave Ste 201, New Haven, CT 06511-2364 | 2019-04-24 |
| 1669934337 | Bondage Breakers Counseling, LLC | Counselor | 79 Trumbull St Unit C9, New Haven, CT 06511-3708 | 2019-04-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1649736067 | Martina M Kardol | Counselor | 926 Chapel St, New Haven, CT 06510-2515 | 2019-02-11 |
| 1578016846 | Rigoberto Morales Rios | Counselor | 50 Fitch St Fl 2, New Haven, CT 06515-1366 | 2016-08-03 |
| 1619345980 | Rachel Doody | Counselor | 98-100 Park St, New Haven, CT 06511-5402 | 2015-09-03 |
| 1871909945 | Marissa R Gagliardo | Counselor | 232 Cedar Street, South Central Rehabilitation Center, New Haven, CT 06519-1610 | 2014-07-09 |
| 1447680079 | Francesca Maria Ferrentelli | Counselor | 4829 Highway Kk, New Haven, MO 63068-2157 | 2013-11-18 |
| Find all providers in NEW HAVEN | ||||
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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.