AMANI NIA THERAPEUTIC SERVICES PLLC (NPI# 1215552708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215552708 |
Entity Type | Organization |
Organization Name | AMANI NIA THERAPEUTIC SERVICES PLLC |
Practice Address |
64 Wall St Ste 306 Norwalk CT 06850-3403 |
Mailing Address |
133 Main St Apt 5 Norwalk CT 06851-4650 |
Practice Telephone | 2036749222 |
Mailing Telephone | 6318075005 |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-06-10 |
Authorized Official Name | AKEERA PETERKIN (OWNER) |
Authorized Official Telephone | 6318075005 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Amani Nia Therapeutic Services LLC | Other Name - Individual/Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | AMANI NIA THERAPEUTIC SERVICES PLLC | 133 Main St Apt 5, Norwalk, CT 06851 |
Street Address |
64 WALL ST STE 306 |
City | NORWALK |
State | CT |
Zip Code | 06850-3403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780061101 | Akeera Peterkin | Counselor | 64 Wall St Ste 306, Norwalk, CT 06850-3403 | 2015-05-05 |
1770122947 | Spirit Clinic LLC | Clinic/Center | 64 Wall St Ste 306, Norwalk, CT 06850-3403 | 2020-01-05 |
1942700430 | Cristal Analisa Sampson | Registered Nurse | 64 Wall St Ste 306, Norwalk, CT 06850-3403 | 2018-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497105092 | Brightview Norwalk, LLC | Alzheimer Center (Dementia Center) | 162 New Canaan Ave., Norwalk, CT 06850 | 2016-06-15 |
1518321306 | Megan Yee | Social Worker | 54 W. Norwalk Road, Norwalk, CT 06850 | 2016-04-08 |
1992129886 | Alicia Collen Zeidan | Nurse Practitioner | 10 Mott Ave Ste 2a, Norwalk, CT 06850 | 2014-02-12 |
1306194642 | Diane Beth Weiss | Specialist | 12 Rae Lane, Norwalk, CT 06850 | 2012-08-16 |
1538491170 | Thomas C. Santaniello | Dentist | 16 River Street, Norwalk, CT 06850 | 2010-02-08 |
1720226988 | Kathleen F Dayton | Counselor | 4 Berkeley Street, Super Kids, Norwalk, CT 06850 | 2009-01-27 |
1578716783 | Helen B. Mccue | Social Worker | 9 Mott Avenue, Family and Children's Agency, Norwalk, CT 06850 | 2008-10-31 |
1609900497 | James Schumacher | Physician Assistant | Maple Avenue, Norwalk, CT 06850 | 2007-03-15 |
1134270002 | Neelam Narula | Nurse Practitioner | 34 Maple St Ste J, Norwalk, CT 06850 | 2007-01-16 |
1669559951 | Patricia Jorquera | Pediatrics | 10 Mott Avenue, 4th Floor, Norwalk, CT 06850 | 2006-11-01 |
Find all providers in zip 06850 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093913154 | Harris Counseling LLC | Clinic/Center | 128 East Avenue, Fourth Floor, Norwalk, CT 06851 | 2007-07-10 |
1457369399 | Los Angeles County Department of Mental Health | Clinic/Center | 12440 East Imperial Hwy., Suite #116, Norwalk, CA 90650-8347 | 2006-08-04 |
1467476804 | Los Angeles County Department of Mental Health | Clinic/Center | 12440 Imperial Hwy Ste 116, Norwalk, CA 90650-8347 | 2006-07-27 |
1770122947 | Spirit Clinic LLC | Clinic/Center | 64 Wall St Ste 306, Norwalk, CT 06850-3403 | 2020-01-05 |
1205313947 | Dorye Jackson LLC | Clinic/Center | 50 Washington St, Norwalk, CT 06854-2710 | 2018-07-25 |
1811266901 | Los Angeles County Department of Mental Health | Clinic/Center | 12440 Firestone Blvd., 3rd Fl Ste 3001, Norwalk, CA 90650-4328 | 2011-12-20 |
1144510694 | Connecticut Renaissance, Inc. | Clinic/Center | 17 High St, Norwalk, CT 06851-4723 | 2011-04-18 |
1770727208 | Telecare Los Angeles Adult Services | Clinic/Center | 12440 Firestone Blvd, Suite 3025, Norwalk, CA 90650-4328 | 2009-04-28 |
1932340981 | Kathryn F. Nuro, Ph.d., LLC | Clinic/Center | 128 East Ave, Norwalk, CT 06851-5738 | 2009-03-19 |
1922171073 | Telecare Corporation | Clinic/Center | 12440 Firestone Blvd, Suite 3020, Norwalk, CA 90650-4328 | 2006-11-16 |
Find all providers in NORWALK |
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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.