AMY JO PODGORSKI (NPI# 1245372754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245372754 |
| Entity Type | Individual |
| Full Name | AMY JO PODGORSKI |
| Practice Address |
91 Northwest Dr Plainville CT 06062-1534 |
| Mailing Address |
2 Woodside Dr Unionville CT 06085-1549 |
| Practice Telephone | 8607933849 |
| Mailing Telephone | 8604040863 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 065 | CT | Residential Treatment Facilities |
| Street Address |
91 NORTHWEST DR |
| City | PLAINVILLE |
| State | CT |
| Zip Code | 06062-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609972918 | Daniel Leo Flaherty | Social Worker | 91 Northwest Dr, Wheeler Clinic, Plainville, CT 06062 | 2006-09-15 |
| 1871108076 | Wheeler Clinic Inc | Clinic/Center | 91 Northwest Dr, Plainville, CT 06062-1534 | 2020-09-14 |
| 1801409834 | Amanda Lynn Toni | Social Worker | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-08-28 |
| 1568075034 | Allison Crockett | Nurse's Aide | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-08-25 |
| 1144831058 | Kelly Wakeland | Social Worker | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-08-13 |
| 1457960254 | Tina Loarte-rodriguez | Registered Nurse | 91 Northwest Dr, Plainville, CT 06062-1534 | 2020-07-28 |
| 1427676782 | Brittney L Richleigh | Marriage & Family Therapist | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-07-13 |
| 1649894346 | Heather Agid | Social Worker | 91 Northwest Dr, Plainville, CT 06062-1534 | 2020-05-29 |
| 1962025692 | Mary-ann Alisha Staggers | Counselor | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-05-28 |
| 1326660523 | Jennifer Gulick | Student in an Organized Health Care Education/Training Program | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154967263 | Zachary Mcpherson | Pharmacist | 5 Farmington Avenue, Plainville, CT 06062 | 2019-11-24 |
| 1851891634 | Nora Ainsworth | Dietitian, Registered | 28 North St Apt 4, Plainville, CT 06062 | 2018-02-18 |
| 1104348192 | The Center for Emotional Healing, LLC | Community/Behavioral Health | 307 East Street, Unit 1, Plainville, CT 06062 | 2017-07-11 |
| 1013441385 | Plainville Community Pharmacy LLC | Pharmacy | 170 East Street, Plainville, CT 06062 | 2017-04-13 |
| 1730551821 | Christelle Locke-johnson | Counselor | 91 Wheeler Clinic, 91 Northwest Drive, Plainville, CT 06062 | 2015-10-28 |
| 1982080560 | Jamie Erickson | Student in an Organized Health Care Education/Training Program | 91 Northwood Drive, Plainville, CT 06062 | 2015-08-05 |
| 1487049243 | Kelly E Lamb | Counselor | 78 East Street, Plainville, CT 06062 | 2015-03-30 |
| 1538550546 | Mandell & Blau Md's PC | Radiology | 201 North Mountain Road, Plainville, CT 06062 | 2015-02-12 |
| 1285067603 | Bethany Anne Carr | Nurse Practitioner | 201 North Mountain Rd, Plainville, CT 06062 | 2013-08-21 |
| 1306288618 | Halima L Butler | Social Worker | 58 West Main St, Plainville, CT 06062 | 2013-07-28 |
| Find all providers in zip 06062 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101733 | New Canaan Group Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 162 South Ave, New Canaan, CT 06840-5728 | 2020-07-16 |
| 1053945659 | Community Social Integration, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2666 State St Ste 6, Hamden, CT 06517-2232 | 2020-02-24 |
| 1922471028 | Engel Ramos | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 237 Victoria Rd, Hartford, CT 06114-2800 | 2015-11-11 |
| 1366830838 | Primecare, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 562 Watertown Ave, Waterbury, CT 06708-2240 | 2015-01-06 |
| 1427399708 | Elegant, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 448 Spring St, Windsor Locks, CT 06096-1743 | 2013-03-11 |
| 1205096054 | Healthcare Unit Southbury Training School | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Pierce Hollow Road, Southbury, CT 06488 | 2008-06-16 |
| 1265047567 | Virtual Therapeutic Connect LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 85 Camp Ave Apt 11d, Stamford, CT 06907-1840 | 2020-09-14 |
| 1588842389 | Ability Beyond Disabillity | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5 Squire Ct, Brookfield, CT 06804-3727 | 2008-02-04 |
| City | PLAINVILLE |
| Zip Code | 06062 |
Please comment or provide details below to improve the information on AMY JO PODGORSKI.
| 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.