SUSAN ELIZABETH D'AMBROSIO


Address: 79 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-2527
Phone: 8609720200

SUSAN ELIZABETH D'AMBROSIO (NPI# 1225074420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225074420
Entity Type Individual
Full Name SUSAN ELIZABETH D'AMBROSIO
Credential PSY.D.
Practice Address 79 Retreat Avenue
Hartford Hospital Psychiatry Dept
Hartford
CT 06106-2527
Practice Telephone 8609720200
Mailing Telephone 8609720200
Enumeration Date 2006-06-22
Last Update Date 2016-11-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
002626 CT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 008026262 05

Office Location

Street Address 79 RETREAT AVENUE
HARTFORD HOSPITAL PSYCHIATRY DEPT
City HARTFORD
State CT
Zip Code 06106-2527

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649761545 Khalid Shalaby Student in an Organized Health Care Education/Training Program 79 Retreat Avenue, Hartford Hospital, Adult Primary Care-brown Stone, Hartford, CT 06106 2018-05-25
1457889024 Khary Edwards Student in an Organized Health Care Education/Training Program 79 Retreat Avenue, Adult Primary Care, Hartford Hospital, Hartford, CT 06106 2017-05-26
1316474455 Gaurav Manek Student in an Organized Health Care Education/Training Program 79 Retreat Avenue, Hartford Hospital Adult Primary Care-brown Stone, Hartford, CT 06106 2017-05-19
1780030452 Mark Riley Jonker Internal Medicine 79 Retreat Avenue, Hartford Hospital, Adult Primary Care- Brown Stone, Hartford, CT 06106 2016-05-11
1093197634 Aarthi Kannan Student in an Organized Health Care Education/Training Program 79 Retreat Avenue, Hartford Hospital Adult Primary Care - Brown Stone, Hartford, CT 06102 2015-06-19
1891102414 Chandana Chandra Shekar Student in an Organized Health Care Education/Training Program 79 Retreat Avenue, Hartford Hospital Adult Primary Care Brownstone Clinic, Hartford, CT 06102-8000 2014-07-15
1346660024 Ursula Violet Bailey Internal Medicine 79 Retreat Avenue, Hartford Hospital Adult Primary Care Brownstone Clinic, Hartford, CT 06102 2014-04-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750907325 Vartika Kesarwani Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-19
1720602865 Meher Kaur Singha Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-04
1497314140 Eduardo Mantovani Cardoso Student in an Organized Health Care Education/Training Program Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-06-06
1114582178 Dimitrios Drekolias Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-05-06
1316501687 Rafae Shaikh Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-04-23
1437643715 Lucas Bensa Social Worker 421 Washington St., Apt C1, Hartford, CT 06106 2018-06-19
1548754310 Collin Dimler Physician Assistant 85 Seymour St Ste 1003, Hartford, CT 06106 2018-06-15
1619460581 Bryan F Stringer Student in an Organized Health Care Education/Training Program 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 2018-06-14
1083103972 Margret Sigurdardottir Blondal Student in an Organized Health Care Education/Training Program 282 Washington Street, Ste 4h, Hartford, CT 06106 2018-05-07
1265920995 Rudra Ramanathan Student in an Organized Health Care Education/Training Program 79 Retreat Ave Brown Stone, Hartford, CT 06106 2018-04-27
Find all providers in zip 06106

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366065963 Leah Elizabeth Morgan Psychologist 56 Arbor St Ste 100-a, Hartford, CT 06106-1222 2020-05-19
1306318670 Integrative Psychological Center LLC Psychologist 44 Capitol Ave Ste 402, Hartford, CT 06106-1764 2018-12-26
1326553983 Marissa Sicley-rogers Psychologist 200 Retreat Ave Bldg 5th, Hartford, CT 06106-3309 2017-12-05
1508394834 Ct Psychological Consulting Services, LLC Psychologist 210 Wethersfield Ave Fl 2, Hartford, CT 06114-1113 2017-05-31
1891049003 Randall Kent Wallace Psychologist 36 Russ St, Hartford, CT 06106-1520 2012-11-09
1326399213 Kathryne Stuart Marinchak Psychologist 135 Allen Pl, Hartford, CT 06106-3103 2012-10-02
1255681813 Silvia Corbera Lopez Psychologist 200 Retreat Avnue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3310 2012-09-11
1801165469 Angelica Valentin-colon Psychologist 151 New Park Avenue, Suite 117, Hartford, CT 06106-2152 2011-12-27
1184776163 Stephen Michael Humphrey Psychologist 602 New Britain Ave, Hartford, CT 06106-4033 2007-01-18
1275609711 Sean Timothy Hart Psychologist 864 Wethersfield Avenue First Floor, Hartford Center for Psychotherapy, Hartford, CT 06114 2006-11-27
Find all providers in HARTFORD

Competitor

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City HARTFORD
Zip Code 06106

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Dataset Information

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.

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