PIECED TOGETHER THERAPEUTIC ASSOCIATES, LLC (NPI# 1235658311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235658311 |
| Entity Type | Organization |
| Organization Name | PIECED TOGETHER THERAPEUTIC ASSOCIATES, LLC |
| Practice Address |
764 Colonel Ledyard Hwy Unit 204 Ledyard CT 06339-7012 |
| Practice Telephone | (860) 961-2995 |
| Mailing Telephone | 8609612995 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2018-03-19 |
| Authorized Official Name | JENNIFER WHITE (CLINICIAN) |
| Authorized Official Telephone | 8609612995 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 3263 | CT | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | PIECED TOGETHER THERAPEUTIC ASSOCIATES, LLC | 764 Colonel Ledyard Hwy., Ledyard, CT 06339 |
| Street Address |
764 COLONEL LEDYARD HWY UNIT 204 |
| City | LEDYARD |
| State | CT |
| Zip Code | 06339-7012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902322282 | Jennifer F White | Counselor | 764 Colonel Ledyard Hwy Unit 204, Ledyard, CT 06339-7012 | 2017-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538404728 | Michael Christopher Kendig | Veterinarian | 5 Lorenz Industrial Parkway, Ledyard, CT 06339 | 2012-11-29 |
| 1720342850 | Alyson King Gannon | Physician Assistant | 2 Lorenz Pkwy, Backus Health Center, Ledyard, CT 06339 | 2012-07-03 |
| 1265798524 | Kenneth Warren Berdeen II | Occupational Therapy Assistant | 220 Haley Rd, Ledyard, CT 06339 | 2012-04-11 |
| 1427257054 | Caitlyn Elizabeth Ogilvie | Social Worker | 24 Gallup Hill Rd, Ledyard, CT 06339 | 2007-07-13 |
| 1003965450 | Sandra Berardy | Nurse Practitioner | 75 Route 2, Mashantucket Pequot Indian Health Services, Ledyard, CT 06339 | 2007-01-08 |
| 1013093434 | Joy Holistic Counseling LLC | Social Worker | 1807 Center Groton Rd, Ledyard, CT 06339 | 2006-10-27 |
| 1972687952 | Linda R Kronick | Dentist | 77 Salem Turnpike, Suite 112, Norwich, CT 06339 | 2006-10-25 |
| 1245225887 | Town of Ledyard | Ambulance | 741 R Col Ledyard Highway, Ledyard, CT 06339 | 2005-09-20 |
| 1841338332 | Barbara Jean Savage | Social Worker | 1807 Center Groton Rd, Ledyard, CT 06339 | 2007-02-05 |
| 1508140922 | Mashantucket Pequot Tribal Council | Family Medicine | 75 Route 2, Ledyard, CT 06339-1128 | 2011-10-04 |
| Find all providers in zip 06339 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780818 | Freedom Life Therapy and Wellness, LLC | Community/Behavioral Health | 76 Berkeley Rd, Middletown, CT 06457-4107 | 2020-11-04 |
| 1336740653 | Personal Growth Services | Community/Behavioral Health | 57 Metacomet Rd, Farmington, CT 06032-1801 | 2020-11-03 |
| 1164022943 | Now Counseling Services, LLC | Community/Behavioral Health | 178 Temple St Ste 209, New Haven, CT 06510-2601 | 2020-10-29 |
| 1770182834 | Growth and Development LLC | Community/Behavioral Health | C/o Humanly, 1200 High Ridge Rd Ste 208, Stamford, CT 06905-1202 | 2020-10-20 |
| 1972101319 | Lorraine Kenowski Ma Lpc Pllc | Community/Behavioral Health | 17 Buckingham Rd, Mansfield Center, CT 06250-1404 | 2020-10-16 |
| 1104424464 | Cbl II, LLC | Community/Behavioral Health | 163 Robin Dr, Collinsville, CT 06019-3730 | 2020-10-09 |
| 1215534953 | Susan P Dunko Ms Lpc LLC | Community/Behavioral Health | 17 Hickory Hill Dr, Andover, CT 06232-1013 | 2020-10-06 |
| 1356956528 | Anchor Wellness LLC | Community/Behavioral Health | 22 N High St, Clinton, CT 06413-1731 | 2020-09-14 |
| 1265046106 | Katherine Agel | Community/Behavioral Health | 380 Mather St Apt 4011, Hamden, CT 06514-3159 | 2020-09-08 |
| 1316551104 | Resilient Spirit Psychotherapy LLC | Community/Behavioral Health | 26 Tarragon Dr, East Hampton, CT 06424-1755 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
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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.