LJUDMIL KLJUSEV MD, LLC (NPI# 1245503705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245503705 |
| Entity Type | Organization |
| Organization Name | LJUDMIL KLJUSEV MD, LLC |
| Practice Address |
227 Naugatuck Ave Milford CT 06460-5540 |
| Practice Telephone | 2036933500 |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-15 |
| Authorized Official Name | LJUDMIL KLJUSEV (MD) |
| Authorized Official Telephone | 2036933500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
039302 | CT | Behavioral Health & Social Service Providers |
| Street Address |
227 NAUGATUCK AVE |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-5540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922464783 | Serenity Behavioral Health and Integrative Medicine | Psychologist | 8 Heartwell Dr, Groton, CT 06340-2873 | 2016-01-11 |
| 1053737965 | Sheryl Lacoursiere LLC | Psychologist | 2 Pomperaug Office Park Ste 105, Southbury, CT 06488-2289 | 2014-03-16 |
| 1992057772 | Willow Treatment & Associates, Inc. | Psychologist | 60 Connolly Parkway; Building 2c-207, Wilbur Cross Commons, Hamden, CT 06514 | 2012-10-04 |
| 1447458666 | Alejandra Valencia | Psychologist | 230 South Frontage Rd., The Yale Child Study Center, New Haven, CT 06520 | 2007-07-10 |
| 1437374014 | Jerzy Emil Henisz | Psychologist | 52 West Church Hill Rd, Washington Depot, CT 06794-0414 | 2007-04-17 |
| 1518405059 | Psychiatry Associates of Connecticut | Psychologist | 230 Main Street Ext, Middletown, CT 06457-4470 | 2017-02-04 |
| 1457709818 | Barbara A. Moynihan LLC | Psychologist | 1 S Main St, Branford, CT 06405-3872 | 2016-05-26 |
| 1245536853 | Mark Schroeder Md, LLC | Psychologist | 354 Warrenville Rd, Mansfield Center, CT 06250-1130 | 2011-01-28 |
| 1295905644 | Leonard None Diamond | Psychologist | 29 S Main St, New Milford, CT 06776-3507 | 2008-03-01 |
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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.