OLGA SELIKHOV (NPI# 1235161084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235161084 |
Entity Type | Individual |
Full Name | OLGA SELIKHOV |
Other Name | OLGA STORONKIN |
Credential | APRN |
Practice Address |
433 Valley St Willimantic CT 06226-1901 |
Mailing Address |
995 Day Hill Rd Windsor CT 06095-1722 |
Practice Telephone | 8604567200 |
Mailing Telephone | 8606793364 |
Enumeration Date | 2006-07-06 |
Last Update Date | 2017-03-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 003094 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
003094 | CT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | PROVIDER NUMBER | 400003094CT03 | 01 |
Street Address |
433 VALLEY ST |
City | WILLIMANTIC |
State | CT |
Zip Code | 06226-1901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235737065 | Tyler C Beckwith | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2020-10-14 |
1437762192 | Priscilla P Leon | Social Worker | 433 Valley St, Willimantic, CT 06226-1901 | 2020-08-24 |
1962042374 | Maria Torres | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2020-01-14 |
1053959692 | Alana B Mendelsohn | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-12-13 |
1528624525 | Tiffany Kennedy | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-05-15 |
1891359501 | Raelene Asselin | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-04-29 |
1942762372 | Kristin Dunn | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-04-04 |
1679037592 | Nicole Forrest | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-01-24 |
1942796230 | John Tutu | Counselor | 433 Valley St, Willimantic, CT 06226 | 2018-07-10 |
1851885321 | Shawn Samuels | Counselor | 433 Valley St, Willimantic, CT 06226 | 2018-06-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669962163 | Nutmeg Neuropsychology LLC | Psychologist | 322 Main St Ste 2e-1o, Willimantic, CT 06226 | 2018-05-10 |
1104344365 | Taylor Girard | Social Worker | 54-56 Boston Post Road, Willimantic, CT 06226 | 2017-09-07 |
1194268490 | Donald Diange | Pharmacist | 1391 Main Street, Willimantic, CT 06226 | 2016-11-18 |
1386988954 | Gale K Lockland | Psychologist | 112 Mansfield Avenue, Windham Community Memorial Hospital, Willimantic, CT 06226 | 2012-11-20 |
1831343060 | Carlita R Baldwin | Counselor | 366 Ash Street, Unit 4, Willimantic, CT 06226 | 2008-11-14 |
1023211190 | Joel Lee Reinholtz | Physical Therapy Assistant | 595 Valley Street, Windham, CT 06226 | 2007-06-07 |
1265654719 | Mcsweeney Regional Senior Center | Clinic/Center | 47 Crescent St, Willimantic, CT 06226 | 2007-05-03 |
1912012964 | John Wescott Stevens | Dentist | 1581 W Main St, Willmantic, CT 06226 | 2006-08-20 |
1801802756 | Kathryn Nelson | Family Medicine | 355 High Street, Willimantic, CT 06226 | 2006-07-31 |
1710914379 | The Foot Group, LLC | Podiatrist | 162 A Mansfield Ave, Willimantic, CT 06226 | 2006-06-27 |
Find all providers in zip 06226 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104442771 | Ariye M Krassner | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2020-06-19 |
1366938219 | Donna Miller-lewis | Nurse Practitioner | 132 Mansfield Ave, Willimantic, CT 06226-2027 | 2018-07-03 |
1275966442 | Rachael Ann Cruz | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2013-08-12 |
1922339779 | Linda Gechas | Nurse Practitioner | 132 Mansfield Ave, Willimantic, CT 06226-2027 | 2010-01-19 |
1851571244 | Eileen Hanrahan | Nurse Practitioner | 132 Mansfield Ave, Willimantic, CT 06226-2027 | 2007-11-14 |
1033217237 | Patricia S Masopust | Nurse Practitioner | 132 Mansfield Ave, United Services, Willimantic, CT 06226-2027 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578164935 | Sheneese Denelle Charles | Nurse Practitioner | 22 Victoria Rd, New Britain, CT 06052-1536 | 2020-11-03 |
1396345179 | Kate Hanselman | Nurse Practitioner | 224 Saint John St # 3l, New Haven, CT 06511-4917 | 2020-10-29 |
1518565399 | Gina Kolstad | Nurse Practitioner | 279 Quarry Rd # 2, Glastonbury, CT 06033-3406 | 2020-10-13 |
1043818966 | Shakeria C Brown | Nurse Practitioner | 567 Millville Ave Apt 3-10, Naugatuck, CT 06770-2337 | 2020-10-13 |
1154937910 | Gregory Guion | Nurse Practitioner | 2275 Silas Deane Highway, 2nd Floor, Rocky Hill, CT 06067-2343 | 2020-09-17 |
1003425331 | Ryan Keenan | Nurse Practitioner | 34 Seaview Ave, West Haven, CT 06516-6846 | 2020-07-22 |
1649888256 | Healthy Minds Pllc | Nurse Practitioner | 40 Russ St, Hartford, CT 06106-1520 | 2020-07-20 |
1174131205 | Kimberly Levitt | Nurse Practitioner | 466 Ridgebury Rd, Ridgefield, CT 06877-1228 | 2020-07-15 |
1801414602 | Georgina Twumasi Mental Health LLC | Nurse Practitioner | 29 Wildwood Cir, South Windsor, CT 06074-1700 | 2020-07-08 |
1356978688 | Rachel Feit | Nurse Practitioner | 63 Pine Tree Dr, Stamford, CT 06906-1529 | 2020-03-25 |
Find all providers with the same taxonomy |
City | WILLIMANTIC |
Zip Code | 06226 |
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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.